Mark Scott Ericson in Hayward - Oral And Maxillofacial Surgery
Mark Scott Ericson - NPI 1952374761
Mark Scott Ericson is a Oral And Maxillofacial Surgery in Hayward, California. Mark Scott Ericson practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Mark Scott Ericson is 1952374761. The last update date is 2012-04-04.
Mark Scott Ericson's current location address is 1320 Apple Ave Ste 104, Hayward, California. You can contact this provider via phone number 3608709097 and fax number 5105828147. The mailing address for Mark Scott Ericson is 1320 Apple Ave Ste 104, Hayward, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Scott Ericson |
|---|---|
| Address | 1320 Apple Ave Ste 104, Hayward, California |
| Phone Number | 3608709097 |
| Fax Number | 5105828147 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1952374761 |
|---|---|
| Provider Enumeration Date | 2006-02-10 |
| Last Updated Date | 2012-04-04 |
Provider Mailing Address Detail
| Address | 1320 Apple Ave Ste 104 |
|---|---|
| City | Hayward |
| State | California (CA) |
| Post Code | 945411552 |
| Phone Number | 3608709097 |
| Fax Number | 5105828147 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 22DI02230300 |
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Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Mark Scott Ericson by the Centers for Medicare & Medicaid Services?
The Mark Scott Ericson has been issued the NPI (National Provider Identifier) 1952374761, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Mark Scott Ericson?
The Mark Scott Ericson is situated at 1320 Apple Ave Ste 104, in the city of Hayward, state of CA, with the zip code 945411552.
What is Mark Scott Ericson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Mark Scott Ericson is Oral And Maxillofacial Surgery, and the corresponding taxonomy classification code for this specialized field is 1223S0112X.
When was the Mark Scott Ericson's 1952374761 issued?
The Mark Scott Ericson's 1952374761 was issued on 2006-02-10.
As of what date was the information pertaining to Mark Scott Ericson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Mark Scott Ericson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-04-04.