Mark Lyn Prestwich, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

010237 Issued in GA

Practice address

1744 Roswell Rd
Ste.#310
Marietta, GA 30062-3979

Phone

(770) 973-8183

Fax

(770) 565-3961

NPI assigned

Oct 16, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063592939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2402 WOODBRIDGE DR",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300662158",
            "telephone_number": "770-926-2358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1744 ROSWELL RD",
            "address_2": "STE.#310",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300623979",
            "telephone_number": "770-973-8183",
            "fax_number": "770-565-3961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESTWICH",
        "first_name": "MARK",
        "middle_name": "LYN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "010237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Countess Pressnell, PT, DPT
• Prestige Ankle & Foot Care, LLC
• Prestigious Medical Center, Inc
• Cathie C Preston, APRN
• Karalyn Prestwich, DNP, PMHNP
• Shanna Presume, RBT
• Pretty in Pink Angels of Care, LLC
• Prevent & Restore Physical Therapy
• Rony Prevot
• Latoria Preyer

• Dentist in Marietta, GA
• Providers in Marietta, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.