Perry, Mark Austin
Perry, Mark Austin is an sole proprietor health care provider with primary practice located at 110 Cherry St , Darlington SC 29532-3904. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Perry, Mark Austin can be contacted via phone (843) 393-5831.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 4128 | South Carolina |
Profile Details
| NPI number | 1962629220 |
|---|---|
| LBN Legal business name | Perry, Mark Austin |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 19th, 2007 |
| Last updated | Oct 2nd, 2008 - about 18 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 | 1962629220 | NPPES |
| South Carolina | MEDICAID | ZX4128 |
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