Mark a. George D.D.S., Inc

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

31142 Issued in CA

Legal business name

MARK A. GEORGE D.D.S., INC

Practice address

1140 W la Veta Ave Ste 530
Orange, CA 92868-4227

Phone

(714) 953-1000

Fax

(714) 953-9957

NPI assigned

Sep 1, 2010

Last updated

Sep 1, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Diana Leslie Costello

Title

Office Administrator

Phone

(714) 953-1000

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Steven W Baba, DDS

  • Endodontics
  • Orange, CA
  • NPI 1326050808
  NPD (past)
• Daniel Kantarovich, DDS

  • Dentist
  • Orange, CA
  • NPI 1568656007
  NPD (past)
• Gianmarco O'Brien, D.D.S.

  • Prosthodontics
  • Orange, CA
  • NPI 1336338847
  NPD (past)

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

{
    "created_epoch": "1283299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283299200000",
    "number": "1285941005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 W LA VETA AVE STE 530",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684227",
            "telephone_number": "714-953-1000",
            "fax_number": "714-953-9957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 W LA VETA AVE STE 530",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684227",
            "telephone_number": "714-953-1000",
            "fax_number": "714-953-9957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK A. GEORGE D.D.S., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-01",
        "last_updated": "2010-09-01",
        "status": "A",
        "authorized_official_last_name": "COSTELLO",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "LESLIE",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "714-953-1000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "CA",
            "license": "31142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariposa Women and Family Center (ADAS Mariposa Women's Center CalWORKs Orange)
• Mariposa Women and Family Cetner
• Adriana Angelica Mariscal, FNP-C
• Maria Isabel Mariscal
• Michelle Nona Mariscal
• Mark J Rodrigues MD Inc
• Mark J. Mroch, DDS,Dental Corp.
• Mark Lum Psychological Services
• Hope E Markley
• Ernest Markovich

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2010; 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.