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
Phone: (312) 227-6050
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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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