Mark Landis Carr, DDS
Individual provider Active NPI General Practice Dentistry · Cameron, MO
NPI 1053590919 · NPPES record last updated Nov 6, 2007
Key facts
- NPI
- 1053590919
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 14415 (MO)
- Practice address
- 312 N Walnut
Cameron, MO 64429-1825 - Phone
- (816) 632-5812
- Fax
- (816) 632-8879
- NPI assigned
- Oct 29, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14415 | MO | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 14415 | MO | Yes |
Addresses
Primary practice location
312 N Walnut
Cameron, MO 64429-1825
Mailing address
312 N Walnut
Cameron, MO 64429-1825
Phone (816) 632-5812
Other providers in Cameron, MO
- Cameron Regional Medical Center, Inc.
- Cameron Regional Medical Center, Inc.
- Cameron Regional Medical Center, Inc.
- Cristi Campbell
- Richard D Campbell
- Charles E Chatfield
- Clay Poplin LCSW, LLC
- Jennifer Larae Clemons
- Clinco Sheltered Industries, Inc.
- Marci Rhea Cline
All providers in Cameron, MO · General Practice Dentistry in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 6, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.