Mark Douglas Oliver in Lagrange - Dentist
Mark Douglas Oliver - NPI 1629140207
Mark Douglas Oliver is a Dentist in Lagrange, Georgia. Mark Douglas Oliver practices all healthcare services and medical treatments related to Dentist. The NPI Number for Mark Douglas Oliver is 1629140207. The last update date is 2009-07-16.
Mark Douglas Oliver's current location address is 409 W Broome St, Lagrange, Georgia. You can contact this provider via phone number 7068848523 and fax number 7068844679. The mailing address for Mark Douglas Oliver is 409 W Broome St, Lagrange, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Douglas Oliver |
|---|---|
| Address | 409 W Broome St, Lagrange, Georgia |
| Phone Number | 7068848523 |
| Fax Number | 7068844679 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1629140207 |
|---|---|
| Provider Enumeration Date | 2006-11-15 |
| Last Updated Date | 2009-07-16 |
Provider Mailing Address Detail
| Address | 409 W Broome St |
|---|---|
| City | Lagrange |
| State | Georgia (GA) |
| Post Code | 302403107 |
| Phone Number | 7068848523 |
| Fax Number | 7068844679 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | DN010969 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique identification code assigned to Mark Douglas Oliver by the Centers for Medicare & Medicaid Services?
The Mark Douglas Oliver has been issued the NPI (National Provider Identifier) 1629140207. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Mark Douglas Oliver's facilities are situated?
The facilities of Mark Douglas Oliver are physically located at the following address: 409 W Broome St, Lagrange, GA, 302403107.
What is the area of specialization for Mark Douglas Oliver, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Mark Douglas Oliver is Dentist, and the corresponding taxonomy code that categorizes this area of expertise is 122300000X.
When did Mark Douglas Oliver receive its 1629140207 assignment?
The Mark Douglas Oliver was assigned its 1629140207 on 2006-11-15, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Mark Douglas Oliver most recently updated or revised?
The information pertaining to Mark Douglas Oliver, including its address, specialty, and other relevant details, was last updated or revised on 2009-07-16.
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