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

Contact Information

MARK T CHASE, DDS
8424 W CENTER RD
SUITE 100
OMAHA, NE68124-3138
 Phone: 402-397-1300
 Fax: 402-397-6449
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for MARK T CHASE · (Male)

NPI Number 1003026782
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 05/23/2007
Last updated 07/09/2007 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • NE License # 5456
  • NE Medicaid 47-0736187-00
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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