Mallett, Mark Andrew

Mallett, Mark Andrew is an individual health care provider with primary practice located at 550 Chestnut St , Conway AR 72032-5402. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Mallett, Mark Andrew can be contacted via phone (501) 329-8754.

Contact Information

Primary practice address
550 Chestnut St Conway AR 72032-5402
Phone: (501) 329-8754
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 4524 Arkansas

Profile Details

NPI number 1962071936
LBN Legal business name Mallett, Mark Andrew
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2021
Last updated Jun 23rd, 2021 - about 5 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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