Mark L Ohlsen is a Dentist in Faribault, Minnesota. Mark L Ohlsen practices all healthcare services and medical treatments related to Dentist. The NPI Number for Mark L Ohlsen is 1740397611. The last update date is 2008-06-23.
Mark L Ohlsen's current location address is 505 4th St Nw, Faribault, Minnesota. You can contact this provider via phone number 5073347471 and fax number 5073349736. The mailing address for Mark L Ohlsen is 505 4th St Nw, Faribault, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mark L Ohlsen |
|---|---|
| Address | 505 4th St Nw, Faribault, Minnesota |
| Phone Number | 5073347471 |
| Fax Number | 5073349736 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Ohlsen L Mark |
| Credentials | DDS |
| Telephone Number | 5073347471 |
NPI Number Detail
| NPI Number | 1740397611 |
|---|---|
| Provider Enumeration Date | 2006-08-24 |
| Last Updated Date | 2008-06-23 |
Provider Mailing Address Detail
| Address | 505 4th St Nw |
|---|---|
| City | Faribault |
| State | Minnesota (MN) |
| Post Code | 55021 |
| Phone Number | 5073347471 |
| Fax Number | 5073349736 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | D 10296 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 273522900 | MA |
Post Comment/ Review Below
What is the Mark L Ohlsen's 1740397611?
The Mark L Ohlsen's NPI (National Provider Identifier) Number is 1740397611. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Mark L Ohlsen is located?
The Mark L Ohlsen is situated at the following address: 505 4Th St Nw, Faribault, MN, 55021.
What is the Mark L Ohlsen's specialty and taxonomy code?
The Mark L Ohlsen's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1740397611 to Mark L Ohlsen?
The Centers for Medicare & Medicaid Services originally issued the 1740397611 to Mark L Ohlsen on 2006-08-24.
When was the information pertaining to Mark L Ohlsen most recently updated or revised?
The details related to Mark L Ohlsen, including its address, specialty, and other relevant information, were last updated or revised on 2008-06-23.
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