Royal, Edward Mark
Royal, Edward Mark is an individual health care provider with primary practice located at 42051 Mound Rd , Sterling Heights MI 48314-3143. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Royal, Edward Mark can be contacted via phone (586) 323-7700.Contact Information
Primary practice address
42051 Mound Rd
Sterling Heights MI 48314-3143
Phone: (586) 323-7700
Fax: (586) 323-7707
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 2901012092 | Michigan |
Profile Details
| NPI number | 1912087131 |
|---|---|
| LBN Legal business name | Royal, Edward Mark |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 16th, 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 | 1912087131 | NPPES |
| Michigan | MEDICAID | 4062692 |
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