Mark D Degenova is a Dentist in Youngstown, Ohio. Mark D Degenova practices all healthcare services and medical treatments related to Dentist. The NPI Number for Mark D Degenova is 1457361834. The last update date is 2015-03-16.
Mark D Degenova's current location address is 4530 Youngstown Poland Rd, Youngstown, Ohio. You can contact this provider via phone number 3307552039 and fax number 3307556154. The mailing address for Mark D Degenova is 4530 Youngstown Poland Rd, Youngstown, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark D Degenova |
|---|---|
| Address | 4530 Youngstown Poland Rd, Youngstown, Ohio |
| Phone Number | 3307552039 |
| Fax Number | 3307556154 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1457361834 |
|---|---|
| Provider Enumeration Date | 2006-08-09 |
| Last Updated Date | 2015-03-16 |
Provider Mailing Address Detail
| Address | 4530 Youngstown Poland Rd |
|---|---|
| City | Youngstown |
| State | Ohio (OH) |
| Post Code | 445141148 |
| Phone Number | 3307552039 |
| Fax Number | 3307556154 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 17641 |
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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 D Degenova by the Centers for Medicare & Medicaid Services?
The Mark D Degenova has been assigned the NPI (National Provider Identifier) 1457361834 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 D Degenova's physical address?
The Mark D Degenova is physically located at 4530 Youngstown Poland Rd, in the city of Youngstown, OH, with the postal code 445141148.
What is the Mark D Degenova's specialty and taxonomy code?
The Mark D Degenova's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1457361834 to Mark D Degenova?
The Centers for Medicare & Medicaid Services originally issued the 1457361834 to Mark D Degenova on 2006-08-09.
When was the information regarding Mark D Degenova most recently updated?
The details pertaining to the Mark D Degenova, including its address, specialty, and other relevant information, were last refreshed on 2015-03-16.
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