Medlin, Mark Andrew
Medlin, Mark Andrew is an individual health care provider with primary practice located at 135 Charter Oak Rd , Lexington SC 29072-9246. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Medlin, Mark Andrew can be contacted via phone (803) 785-4040.Contact Information
Primary practice address
135 Charter Oak Rd
Lexington SC 29072-9246
Phone: (803) 785-4040
Fax: (803) 785-6275
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 3939 | South Carolina |
Profile Details
| NPI number | 1609803014 |
|---|---|
| LBN Legal business name | Medlin, Mark Andrew |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609803014 | NPPES |
| South Carolina | Other | 3939 | STATE LICENSE NUMBER |
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