| Mark D. Markham, Dds, Plc. | |
|
1501 E 10th St Atlantic IA 50022-1936 | |
| (712) 243-1833 | |
| (712) 243-7552 |
| Full Name | Mark D. Markham, Dds, Plc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1501 E 10th St, Atlantic, Iowa |
| Authorized Official Name and Position | Mark David Markham (OWNER) |
| Authorized Official Contact | 7122431833 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark D. Markham, Dds, Plc. 1501 E 10th St Atlantic IA 50022-1936 Ph: (712) 243-1833 | Mark D. Markham, Dds, Plc. 1501 E 10th St Atlantic IA 50022-1936 Ph: (712) 243-1833 |
| NPI Number | 1669659108 |
|---|---|
| Provider Enumeration Date | 01/28/2008 |
| Last Update Date | 01/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669659108 | NPI | - | NPPES |
| 1163725 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6473 (Iowa) | Primary |
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