Mark I Ensman Dds Pa in Emporia - Dental

Mark I Ensman Dds Pa - NPI 1376632083

Mark I Ensman Dds Pa is a Dental in Emporia, Kansas. Mark I Ensman Dds Pa practices all healthcare services and medical treatments related to Dental. The NPI Number for Mark I Ensman Dds Pa is 1376632083. The last update date is 2008-07-14.

Mark I Ensman Dds Pa's current location address is 2516 W 15th Ave, Emporia, Kansas. You can contact this provider via phone number 6203428032. The mailing address for Mark I Ensman Dds Pa is 2516 W 15th Ave, Emporia, Kansas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Mark I Ensman Dds Pa
Address 2516 W 15th Ave, Emporia, Kansas
Phone Number 6203428032
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Ensman Mark
Telephone Number 6203428032

NPI Number Detail

NPI Number 1376632083
Provider Enumeration Date 2006-10-12
Last Updated Date 2008-07-14

Provider Mailing Address Detail

Address 2516 W 15th Ave
City Emporia
State Kansas (KS)
Post Code 668016102
Phone Number 6203428032
Fax Number

Provider's Primary Taxonomy Detail

Speciality Dental
Taxonomy 261Qd0000X
Licence No 5429
Definition:
Provides general and specialized dental care and oral surgery.

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FAQs about Mark I Ensman Dds Pa

What is the unique 10-digit identifier code assigned to Mark I Ensman Dds Pa by the Centers for Medicare & Medicaid Services?

The Mark I Ensman Dds Pa has been issued the NPI (National Provider Identifier) 1376632083 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete address where Mark I Ensman Dds Pa is physically located?

The Mark I Ensman Dds Pa is situated at the following address: 2516 W 15Th Ave, Emporia, KS 668016102.

What is Mark I Ensman Dds Pa's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Mark I Ensman Dds Pa is Dental, and the taxonomy code that classifies this field of practice is 261Qd0000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1376632083 to Mark I Ensman Dds Pa?

The Mark I Ensman Dds Pa received its 1376632083 assignment from the Centers for Medicare & Medicaid Services on 2006-10-12.

As of what date were the details related to Mark I Ensman Dds Pa most recently updated or revised?

The information pertaining to Mark I Ensman Dds Pa, including its address, specialty, and other relevant details, was last updated or revised on 2008-07-14.

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