NPI Lookup
NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

MARK GAPONIUK, DMD
1545 9TH ST SW
VERO BEACH, FL32962-4312
 Phone: 772-257-8224
 Fax: 772-213-3157
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for MARK GAPONIUK · (Male)

NPI Number 1003012212
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 06/25/2007
Last updated 02/21/2017 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • FL License # DN22364
  • PA License # DS031205L
  • FL Other DN22364 STATE LICENSE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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