Mark J Flannagan, D.D.S.
Individual provider Active NPI General Practice Dentistry · Tell City, IN
NPI 1376562033 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1376562033
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 12009116A (IN)
- Practice address
- 741 12TH St
Tell City, IN 47586-1728 - Phone
- (812) 547-3478
- Fax
- (812) 547-3479
- NPI assigned
- Jul 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12009116A | IN | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mark J. Flannagan DDS PC | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 12009116A | IN | Yes |
Addresses
Primary practice location
741 12TH St
Tell City, IN 47586-1728
Mailing address
741 12TH St
Tell City, IN 47586-1728
Phone (812) 547-3478
Other providers in Tell City, IN
- Emily Farris
- Fast Pace Medical Clinic PLLC
- Gilbert Albert Field
- Jackie Fischer
- Gary Michael Fisher Sr.
- Vanessa L Ford
- Cynthia J Fortune
- John Fromme
- Tredene Gant
- Katie Elizabeth Gelarden
All providers in Tell City, IN · General Practice Dentistry in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.