Slivken, Marc Charles

Slivken, Marc Charles is an individual health care provider with primary practice located at 3512 Jersey Ridge Rd , Davenport IA 52807-2223. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Slivken, Marc Charles can be contacted via phone (563) 359-3494.

Contact Information

Primary practice address
3512 Jersey Ridge Rd Davenport IA 52807-2223
Phone: (563) 359-3494
Fax: (563) 355-8282
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 6042 Iowa

Profile Details

NPI number 1124180534
LBN Legal business name Slivken, Marc Charles
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 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 1124180534 NPPES
Iowa MEDICAID 0099382

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