Mark Andrew Dillon, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2717-93 Issued in MS

Practice address

75 Old Highway 98 E
Tylertown, MS 39667-2300

Phone

(601) 876-2176

Fax

(601) 876-4513

NPI assigned

Sep 14, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Mark Andrew Dillon, DMD, PA

  • General Practice Dentistry
  • Tylertown, MS
  • NPI 1235276312
  NPD (past) Authorized official

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366547986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 OLD HIGHWAY 98 E",
            "city": "TYLERTOWN",
            "state": "MS",
            "postal_code": "396672300",
            "telephone_number": "601-876-2176",
            "fax_number": "601-876-4513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 OLD HIGHWAY 98 E",
            "city": "TYLERTOWN",
            "state": "MS",
            "postal_code": "396672300",
            "telephone_number": "601-876-2176",
            "fax_number": "601-876-4513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLON",
        "first_name": "MARK",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "2717-93",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Mitchell Collins, M.D.
• Comfort Cove Home Care LLC
• Compassion Works
• Compassion Works LLC
• Jasmine Dillon, REGISTERED NURSE
• Pamela Dillon, F.N.P
• Diversicare of Tylertown, LLC (Diversicare of Tylertown)
• Eagle Health Care Services, Inc
• Ashlei Chulette Ellzey
• Essential Care LLC

• General Practice Dentistry in Tylertown, MS
• Providers in Tylertown, MS by specialty
• General Practice Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.