Thompson, Mark Stephen
Thompson, Mark Stephen is an sole proprietor health care provider with primary practice located at 114 Campus Ave. , Raeford NC 28376-2606. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Thompson, Mark Stephen can be contacted via phone (910) 875-3622.Contact Information
Primary practice address
114 Campus Ave.
Raeford NC 28376-2606
Phone: (910) 875-3622
Fax: (910) 875-3622
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 5462 | North Carolina |
Profile Details
| NPI number | 1508907627 |
|---|---|
| LBN Legal business name | Thompson, Mark Stephen |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 9th, 2007 |
| Last updated | Jul 9th, 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 | 1508907627 | NPPES |
| North Carolina | MEDICAID | 8998450 |
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