Mark H Caceres DMD LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

10991 Issued in GA

Legal business name

MARK H CACERES DMD LLC

Practice address

4485 N Town SQ
Suite 108
Powder Springs, GA 30127-2242

Phone

(770) 943-3344

Fax

(770) 943-2727

NPI assigned

May 27, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Mark H Caceres, DMD

Title

Dentist

Phone

(770) 943-3344

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marcos Caceres, D.M.D.

  • Dentist
  • Powder Springs, GA
  • NPI 1275557548
  NPD (past)

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211846400000",
    "number": "1235397357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4485 N TOWN SQ",
            "address_2": "SUITE 108",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301272242",
            "telephone_number": "770-943-3344",
            "fax_number": "770-943-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4485 N TOWN SQ",
            "address_2": "SUITE 108",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301272242",
            "telephone_number": "770-943-3344",
            "fax_number": "770-943-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK H CACERES DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-27",
        "last_updated": "2008-05-27",
        "status": "A",
        "authorized_official_last_name": "CACERES",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "770-943-3344",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "GA",
            "license": "10991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Powder Springs, GA
• Providers in Powder Springs, GA by specialty
• Dental Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; 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.