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Contact Information

NATHAN P MORK, DDS
40520 COUNTY HIGHWAY 34
OGEMA, MN56569
 Phone: 218-983-4300
 Fax: 218-983-6217
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for NATHAN P MORK · (Male)

NPI # 1093882219
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 11/30/2006
Last updated 08/12/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • MI License # D12125
  • MN License # D12125
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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