Mark William Elice in Philadelphia - Dentist
Mark William Elice - NPI 1013999077
Mark William Elice is a Dentist in Philadelphia, Pennsylvania. Mark William Elice practices all healthcare services and medical treatments related to Dentist. The NPI Number for Mark William Elice is 1013999077. The last update date is 2023-02-24.
Mark William Elice's current location address is 3223 N Broad St, Philadelphia, Pennsylvania. You can contact this provider via phone number 2157072890 and fax number 2157075885. The mailing address for Mark William Elice is 3223 N Broad St, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark William Elice |
|---|---|
| Address | 3223 N Broad St, Philadelphia, Pennsylvania |
| Phone Number | 2157072890 |
| Fax Number | 2157075885 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1013999077 |
|---|---|
| Provider Enumeration Date | 2005-11-16 |
| Last Updated Date | 2023-02-24 |
Provider Mailing Address Detail
| Address | 3223 N Broad St |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 191405007 |
| Phone Number | 2157072890 |
| Fax Number | 2157075885 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | D15810 |
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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 assigned to Mark William Elice by the Centers for Medicare & Medicaid Services?
The Mark William Elice has been issued the NPI (National Provider Identifier) 1013999077, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Mark William Elice is geographically located?
The Mark William Elice is physically situated at the following location: 3223 N Broad St, Philadelphia, PA, 191405007.
What is the area of specialization for Mark William Elice, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Mark William Elice is Dentist, and the corresponding taxonomy code that categorizes this area of expertise is 122300000X.
On what date did the Mark William Elice receive its 1013999077 assignment from the Centers for Medicare & Medicaid Services?
The Mark William Elice was assigned its 1013999077 by the Centers for Medicare & Medicaid Services on 2005-11-16.
As of what date were the details pertaining to Mark William Elice last refreshed?
The information related to the Mark William Elice, including its address, specialty, and other relevant details, was last updated on 2023-02-24.
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