Marable, Michael Donald

Marable, Michael Donald is an sole proprietor health care provider with primary practice located at 307 5Th St Se , Moultrie GA 31768-4838. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Marable, Michael Donald can be contacted via phone (229) 985-5092.

Contact Information

Primary practice address
307 5Th St Se Moultrie GA 31768-4838
Phone: (229) 985-5092
Fax: (229) 985-0138
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 10909 Georgia

Profile Details

NPI number 1346366648
LBN Legal business name Marable, Michael Donald
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 21st, 2007
Last updated Oct 21st, 2015 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1346366648 NPPES
Georgia Other 10909 DENTIST LICENSE NUMBER
Georgia MEDICAID 000431527A DENTIST LICENSE NUMBER

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