Warner, Mark David

Warner, Mark David is an individual health care provider with primary practice located at 7270 S 13Th St , Oak Creek WI 53154-1800. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Warner, Mark David can be contacted via phone (414) 571-6387.

Contact Information

Primary practice address
7270 S 13Th St Oak Creek WI 53154-1800
Phone: (414) 571-6387
Fax: (414) 571-6389
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 5541-015 Wisconsin
Dental Providers / General Practice 1223G0001X 3333 New Hampshire

Profile Details

NPI number 1700897758
LBN Legal business name Warner, Mark David
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 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 1700897758 NPPES
Wisconsin MEDICAID 33785800

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