Mark Edwin Flack in Lees Summit - Oral And Maxillofacial Surgery
Mark Edwin Flack - NPI 1144241589
Mark Edwin Flack is a Oral And Maxillofacial Surgery in Lees Summit, Missouri. Mark Edwin Flack practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Mark Edwin Flack is 1144241589. The last update date is 2007-07-09.
Mark Edwin Flack's current location address is 5457 Ne Wedgewood Ln, Lees Summit, Missouri. You can contact this provider via phone number 8163737968. The mailing address for Mark Edwin Flack is 5457 Ne Wedgewood Ln, Lees Summit, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Edwin Flack |
|---|---|
| Address | 5457 Ne Wedgewood Ln, Lees Summit, Missouri |
| Phone Number | 8163737968 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1144241589 |
|---|---|
| Provider Enumeration Date | 2006-07-21 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 5457 Ne Wedgewood Ln |
|---|---|
| City | Lees Summit |
| State | Missouri (MO) |
| Post Code | 640641223 |
| Phone Number | 8163737968 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 12700 |
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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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What is the unique 10-digit identifier code issued to Mark Edwin Flack by the Centers for Medicare & Medicaid Services?
The Mark Edwin Flack has been assigned the NPI (National Provider Identifier) 1144241589 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Mark Edwin Flack located?
The Mark Edwin Flack is located at 5457 Ne Wedgewood Ln, Lees Summit, MO 640641223.
What is Mark Edwin Flack's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Mark Edwin Flack is Oral And Maxillofacial Surgery, and the taxonomy code that categorizes this field of expertise is 1223S0112X.
On what date did the Centers for Medicare & Medicaid Services issue the 1144241589 to Mark Edwin Flack?
The Mark Edwin Flack received its 1144241589 assignment from the Centers for Medicare & Medicaid Services on 2006-07-21.
When was the information regarding Mark Edwin Flack most recently updated?
The details pertaining to the Mark Edwin Flack, including its address, specialty, and other relevant information, were last refreshed on 2007-07-09.
NPI Number: 1376546309
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