Mardis, Scot C.

Mardis, Scot C. is an individual health care provider with primary practice located at 1616 N 9Th St , Terre Haute IN 47804-2841. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Mardis, Scot C. can be contacted via phone (812) 232-8361.

Contact Information

Primary practice address
1616 N 9Th St Terre Haute IN 47804-2841
Phone: (812) 232-8361
Fax: (812) 238-9406
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 12008116A Indiana

Profile Details

NPI number 1548236250
LBN Legal business name Mardis, Scot C.
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2006
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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Identifiers

StateTypeNumberIssuer
All States NPI 1548236250 NPPES
Other 777790 UNITED CONCORDIA

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