Mark Antonis DDS, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MARK ANTONIS DDS, LLC

Practice address

1333 Easton Ave
Bethlehem, PA 18018-2624

Phone

(610) 866-5391

Fax

(610) 866-5421

NPI assigned

Jul 20, 2020

Last updated

Jul 20, 2020By 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

Dr. Mark Alexander Antonis, DDSNPI 1972642270

Title

Owner

Phone

(610) 866-5391

Specialties & licenses 1

Addresses

Other names 1

• Mark A Antonis DDS Former legal business name

Practitioners 1

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.

• Mark Alexander Antonis, DDS

  • General Practice Dentistry
  • Bethlehem, PA
  • NPI 1972642270
  NPD Authorized official

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595203200000",
    "number": "1316555048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 EASTON AVE",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180182624",
            "telephone_number": "610-866-5391",
            "fax_number": "610-866-5421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 EASTON AVE",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180182624",
            "telephone_number": "610-866-5391",
            "fax_number": "610-866-5421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK ANTONIS DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-20",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A",
        "authorized_official_last_name": "ANTONIS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-866-5391",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mark A Antonis DDS",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Josh Maret, MD
• Maria Garubba DMD LLC (Next Chapter Smiles)
• Christina Marie Mariani, CRNP
• Adam David Marish, D.O.
• Mark a Steinberg DDS,Inc
• Madisan Mark
• Megan Markle
• Wanda Jean Markley
• Samantha Markowitz, MD
• Brienne Marks

• Dental Clinic/Center in Bethlehem, PA
• Providers in Bethlehem, PA by specialty
• Dental Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; 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.