Tenenbaum, Mark David

Tenenbaum, Mark David is an individual health care provider with primary practice located at 5713 16Th Ave , Brooklyn NY 11204-1811. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Orthodontics and Dentofacial Orthopedics is his primary health care specialty. Tenenbaum, Mark David can be contacted via phone (718) 435-1818.

Contact Information

Primary practice address
5713 16Th Ave Brooklyn NY 11204-1811
Phone: (718) 435-1818
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 052980 New York
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 052980 New York

Profile Details

NPI number 1346302858
LBN Legal business name Tenenbaum, Mark David
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2006
Last updated Jul 21st, 2022 - about 3 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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