Mark J. Mroch, DDS,Dental Corp.

Primary specialty

DentistTaxonomy code 122300000X

License

DG33961 Issued in CA

Legal business name

MARK J. MROCH, DDS,DENTAL CORP.

Practice address

112 N McPherson Rd
Orange, CA 92869-3721

Phone

(714) 639-9800

Fax

(714) 639-9899

NPI assigned

Mar 31, 2008

Organization subpart

Yes

Parent organization

MROCH MERIDIAN DENTAL GROUPAs reported in NPPES

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

Authorized official

Name

Dr. Mark John Mroch, DDS

Title

President

Phone

(714) 639-9800

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Mark J Mroch Ddsdental Corp

Locations

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

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206921600000",
    "number": "1285806141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 N MCPHERSON RD",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928693721",
            "telephone_number": "714-639-9800",
            "fax_number": "714-639-9899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 N MCPHERSON RD",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928693721",
            "telephone_number": "714-639-9800",
            "fax_number": "714-639-9899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK J. MROCH, DDS,DENTAL CORP.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MROCH MERIDIAN DENTAL GROUP",
        "enumeration_date": "2008-03-31",
        "last_updated": "2008-03-31",
        "status": "A",
        "authorized_official_last_name": "MROCH",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-639-9800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "DG33961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B33961",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Maria Isabel Mariscal
• Michelle Nona Mariscal
• Mark a. George D.D.S., Inc
• Mark J Rodrigues MD Inc
• Mark Lum Psychological Services
• Hope E Markley
• Ernest Markovich
• Barry Leroy Marks, DC
• Karen Ann Marks, LCSW

• Dentist in Orange, CA
• Providers in Orange, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.