Marcantoni, Henry
Marcantoni, Henry is an individual health care provider with primary practice located at 10801 N Mo Pac Expy Bldg. 2 Ste.130, Austin TX 78759-5459. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Marcantoni, Henry can be contacted via phone (512) 372-6230.Contact Information
Primary practice address
10801 N Mo Pac Expy Bldg. 2 Ste.130
Austin TX 78759-5459
Phone: (512) 372-6230
Fax: (512) 372-6233
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 18386 | Texas |
Profile Details
| NPI number | 1407917800 |
|---|---|
| LBN Legal business name | Marcantoni, Henry |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 12th, 2006 |
| Last updated | Sep 1st, 2009 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407917800 | NPPES |
| Texas | Other | 202376140 | TAX ID |
| Texas | MEDICAID | 175391501 | TAX ID |
| Texas | MEDICAID | 175392302 | TAX ID |
| Texas | Other | 18386 | TAX ID |
| Texas | Other | B18386 | TAX ID |
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