Wilson, Mark Clinton

Wilson, Mark Clinton is an individual health care provider with primary practice located at 110 23Rd St Nw , Fort Payne AL 35967-3671. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Wilson, Mark Clinton can be contacted via phone (256) 845-0765.

Contact Information

Primary practice address
110 23Rd St Nw Fort Payne AL 35967-3671
Phone: (256) 845-0765
Fax: (256) 845-9895
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 3981 Alabama

Profile Details

NPI number 1316037039
LBN Legal business name Wilson, Mark Clinton
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 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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