Madison, Mark Douglas

Madison, Mark Douglas is an sole proprietor health care provider with primary practice located at 2525 N 8Th St Suitte #109, Grand Junction CO 81501-8845. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Madison, Mark Douglas can be contacted via phone (970) 256-9500.

Contact Information

Primary practice address
2525 N 8Th St Suitte #109 Grand Junction CO 81501-8845
Phone: (970) 256-9500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 6786 Colorado

Profile Details

NPI number 1013056159
LBN Legal business name Madison, Mark Douglas
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 5th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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