Pefley, Mark Randall
Pefley, Mark Randall is an individual health care provider with primary practice located at 1736 Broadway St , Anderson IN 46012-2447. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Pefley, Mark Randall can be contacted via phone (765) 642-3588.Contact Information
Primary practice address
1736 Broadway St
Anderson IN 46012-2447
Phone: (765) 642-3588
Fax: (765) 649-1226
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 1200-9056 | Indiana |
Profile Details
| NPI number | 1194804773 |
|---|---|
| LBN Legal business name | Pefley, Mark Randall |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 3rd, 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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