Mark A McFarland, DMD
Individual provider Active NPI Dentist · Diamondhead, MS
NPI 1164572343 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1164572343
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 2684-92D (MS)
- Practice address
- 4349 Gex Rd.
Suite a
Diamondhead, MS 39525-3235 - Phone
- (228) 255-6657
- Fax
- (228) 255-6038
- NPI assigned
- Jan 11, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2684-92D | MS | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2684-92D | MS | Yes |
Addresses
Primary practice location
4349 Gex Rd.
Suite a
Diamondhead, MS 39525-3235
Mailing address
4349 Gex Rd.
Suite a
Diamondhead, MS 39525-3235
Phone (228) 255-6657
Other providers in Diamondhead, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 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.