Mark a. Sundberg, DDS, PLLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DE00010504 Issued in WA

Legal business name

MARK A. SUNDBERG, DDS, PLLC

Practice address

2702 South 42ND Street
Suite 106
Tacoma, WA 98409

Phone

(253) 472-7788

NPI assigned

Oct 18, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Mark A. Sundberg, DDS

Title

Member

Phone

(253) 472-7788

Specialties & licenses 1

Addresses

Other names 1

• Pacific Northwest Orthodontics Doing business as

Locations

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

{
    "created_epoch": "1287360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287360000000",
    "number": "1326358995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2702 SOUTH 42ND STREET",
            "address_2": "SUITE 106",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98409",
            "telephone_number": "253-472-7788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2702 SOUTH 42ND STREET",
            "address_2": "SUITE 106",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98409",
            "telephone_number": "253-472-7788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK A. SUNDBERG, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-18",
        "last_updated": "2010-10-18",
        "status": "A",
        "authorized_official_last_name": "SUNDBERG",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "253-472-7788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WA",
            "license": "DE00010504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Northwest Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Steven Peter Marinkovich, DDS
• David Marino, M.D.
• Rick J. Marino, M.D.
• Willa Alise Marinov, RN
• Maritime Physical Therapy
• Mark D. Johnson D.D.S., P.S.
• Mark L Webb DC
• Marked Tree Dialysis
• David Tristan Markel, M.D.
• Matthew Joel Dion Markley

• Orthodontics and Dentofacial Orthopedics Dentistry in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.