Mark W Anderson DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4831 Issued in AZ

Legal business name

MARK W ANDERSON DDS PC

Practice address

4824 E Baseline Rd
BLDG 3 Suite122
Mesa, AZ 85206-4676

Phone

(480) 633-3447

Fax

(480) 633-3449

NPI assigned

Jan 23, 2007

Last updated

Jan 14, 2013By 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 William Anderson, DDSNPI 1407078066

Title

Dentist Owner

Phone

(480) 633-3447

Specialties & licenses 1

Addresses

Locations

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 William Anderson, D.D.S.

  • General Practice Dentistry
  • Mesa, AZ
  • NPI 1407078066
  NPD (past) Authorized official

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358121600000",
    "number": "1467507418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4824 E BASELINE RD",
            "address_2": "BLDG 3 SUITE122",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064676",
            "telephone_number": "480-633-3447",
            "fax_number": "480-633-3449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4824 E BASELINE RD",
            "address_2": "BLDG 3 SUITE122",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064676",
            "telephone_number": "480-633-3447",
            "fax_number": "480-633-3449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK W ANDERSON DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2013-01-14",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "480-633-3447",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "4831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark E. Lee,D.C.,P.C. (Lee Chiropractic)
• Mark H Olsen DPM PLLC
• Mark R. Scilley, DDS, PC
• Mark S. Hamblin, D.D.S., P.C.
• Mark T Callesen MD PC
• Laura Lynn Markison, N.D.
• Shannon Lynn Markovich, CASAC, LSAT, CADAC,
• Christopher M Markunas
• Kaela Marie Marler
• Marley Healing Hands Healthcare Inc

• General Practice Dentistry in Mesa, AZ
• Providers in Mesa, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2013; 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.