Mark Christophe Azar in Belleville - Orthodontics And Dentofacial Orthopedics

Mark Christophe Azar - NPI 1194852608

Mark Christophe Azar is a Orthodontics And Dentofacial Orthopedics in Belleville, Illinois. Mark Christophe Azar practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Mark Christophe Azar is 1194852608. The last update date is 2007-07-08.

Mark Christophe Azar's current location address is 3540 N Belt W, Belleville, Illinois. You can contact this provider via phone number 6182353337 and fax number 6182358703. The mailing address for Mark Christophe Azar is 3540 N Belt W, Belleville, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark Christophe Azar
Address 3540 N Belt W, Belleville, Illinois
Phone Number 6182353337
Fax Number 6182358703
Sole Proprietor Y
Credentials D.D.S., M.

NPI Number Detail

NPI Number 1194852608
Provider Enumeration Date 2007-02-28
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3540 N Belt W
City Belleville
State Illinois (IL)
Post Code 622265975
Phone Number 6182353337
Fax Number 6182358703

Provider's Primary Taxonomy Detail

Speciality Orthodontics And Dentofacial Orthopedics
Taxonomy 1223X0400X
Licence No 19-A15099
Definition:
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
19-A15099 IL STATE SPECIALTY LICENSE

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FAQs about Mark Christophe Azar

What is the unique identification code assigned to Mark Christophe Azar by the Centers for Medicare & Medicaid Services?

The Mark Christophe Azar has been issued the NPI (National Provider Identifier) 1194852608. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Mark Christophe Azar's facilities are situated?

The facilities of Mark Christophe Azar are physically located at the following address: 3540 N Belt W, Belleville, IL, 622265975.

What is the area of specialization for Mark Christophe Azar, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Mark Christophe Azar is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code that categorizes this area of expertise is 1223X0400X.

When was the Mark Christophe Azar's 1194852608 issued?

The Mark Christophe Azar's 1194852608 was issued on 2007-02-28.

When was the Mark Christophe Azar's information last updated?

The Mark Christophe Azar's information was last updated on 2007-07-08.

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