Mark Randall Pefley in Anderson - Dentist
Mark Randall Pefley - NPI 1194804773
Mark Randall Pefley is a Dentist in Anderson, Indiana. Mark Randall Pefley practices all healthcare services and medical treatments related to Dentist. The NPI Number for Mark Randall Pefley is 1194804773. The last update date is 2007-07-08.
Mark Randall Pefley's current location address is 1736 Broadway St, Anderson, Indiana. You can contact this provider via phone number 7656423588 and fax number 7656491226. The mailing address for Mark Randall Pefley is 1736 Broadway St, Anderson, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Randall Pefley |
|---|---|
| Address | 1736 Broadway St, Anderson, Indiana |
| Phone Number | 7656423588 |
| Fax Number | 7656491226 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1194804773 |
|---|---|
| Provider Enumeration Date | 2006-11-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1736 Broadway St |
|---|---|
| City | Anderson |
| State | Indiana (IN) |
| Post Code | 460122447 |
| Phone Number | 7656423588 |
| Fax Number | 7656491226 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 1200-9056 |
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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 10-digit identification code issued to Mark Randall Pefley by the Centers for Medicare & Medicaid Services?
The Mark Randall Pefley has been assigned the NPI (National Provider Identifier) 1194804773 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Mark Randall Pefley's physical address?
The Mark Randall Pefley is physically located at 1736 Broadway St, in the city of Anderson, IN, with the postal code 460122447.
What is Mark Randall Pefley's area of expertise and its corresponding taxonomy classification?
The Mark Randall Pefley's field of specialization is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1194804773 assigned to Mark Randall Pefley?
The Mark Randall Pefley was issued its 1194804773 on 2006-11-03, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Mark Randall Pefley's information last updated?
The Mark Randall Pefley's information was last updated on 2007-07-08.