White, Mark

White, Mark is an sole proprietor health care provider with primary practice located at 437 W Deming Pl 9Th Floor Dentistry, Chicago IL 60614-3393. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry. Dental Providers / Dentist is his primary health care specialty. White, Mark can be contacted via phone (312) 227-6050.

Contact Information

Primary practice address
437 W Deming Pl 9Th Floor Dentistry Chicago IL 60614-3393
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 019.031419 Illinois
Dental Providers / Pediatric Dentistry 1223P0221X 021.003126 Illinois
Dental Providers / Dentist 122300000X 1001296 Wisconsin

Profile Details

NPI number 1114376225
LBN Legal business name White, Mark
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 9th, 2016
Last updated Jan 26th, 2024 - about 2 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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