Mark James Revels in Norman - Orthodontics And Dentofacial Orthopedics

Mark James Revels - NPI 1124208285

Mark James Revels is a Orthodontics And Dentofacial Orthopedics in Norman, Oklahoma. Mark James Revels practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Mark James Revels is 1124208285. The last update date is 2007-11-06.

Mark James Revels's current location address is 2214 W Boyd St, Norman, Oklahoma. You can contact this provider via phone number 4053212735 and fax number 4053217877. The mailing address for Mark James Revels is 2214 W Boyd St, Norman, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark James Revels
Address 2214 W Boyd St, Norman, Oklahoma
Phone Number 4053212735
Fax Number 4053217877
Sole Proprietor N
Credentials D.D.S

NPI Number Detail

NPI Number 1124208285
Provider Enumeration Date 2007-11-06
Last Updated Date 2007-11-06

Provider Mailing Address Detail

Address 2214 W Boyd St
City Norman
State Oklahoma (OK)
Post Code 730694836
Phone Number 4053212735
Fax Number 4053217877

Provider's Primary Taxonomy Detail

Speciality Orthodontics And Dentofacial Orthopedics
Taxonomy 1223X0400X
Licence No 166
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

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FAQs about Mark James Revels

What is the unique 10-digit identifier code issued to Mark James Revels by the Centers for Medicare & Medicaid Services?

The Mark James Revels has been assigned the NPI (National Provider Identifier) 1124208285 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Mark James Revels is located?

The Mark James Revels is situated at the following address: 2214 W Boyd St, Norman, OK, 730694836.

What is Mark James Revels's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Mark James Revels is Orthodontics And Dentofacial Orthopedics, and the taxonomy code that classifies this field of practice is 1223X0400X.

On what date did the Centers for Medicare & Medicaid Services issue the 1124208285 to Mark James Revels?

The Mark James Revels received its 1124208285 assignment from the Centers for Medicare & Medicaid Services on 2007-11-06.

When was the information regarding Mark James Revels most recently updated?

The details pertaining to the Mark James Revels, including its address, specialty, and other relevant information, were last refreshed on 2007-11-06.

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