Mari-Lynn Sain, LMBT
Individual provider Active NPI Specialist · Vale, NC
NPI 1205255684 · NPPES record last updated Apr 14, 2014
Key facts
- NPI
- 1205255684
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 12898 (NC)
- Practice address
- 1110 Wesson Rd
Vale, NC 28168-8631 - Phone
- (828) 443-2245
- NPI assigned
- Apr 14, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12898 | NC | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 12898 | NC | Yes |
Addresses
Primary practice location
1110 Wesson Rd
Vale, NC 28168-8631
Mailing address
1110 Wesson Rd
Vale, NC 28168-8631
Phone (828) 443-2245
Other providers in Vale, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 14, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.