Mark E Bostic, D.D.S.

Individual provider Active NPI General Practice Dentistry · Oxford, NC

NPI 1245309475 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1245309475
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
6318 (NC)
Practice address
713 College St
Oxford, NC 27565-2718
Phone
(919) 693-7635
Fax
(919) 693-8276
NPI assigned
Nov 6, 2006
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Mark E Bostic D.D.S. General Practice Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6318 NC Yes

Addresses

Primary practice location

713 College St
Oxford, NC 27565-2718

Mailing address

713 College St
Oxford, NC 27565-2718
Phone (919) 693-7635

Other providers in Oxford, NC

All providers in Oxford, NC · General Practice Dentistry in North Carolina

Sources for this page

Verify at the official NPI Registry.