Mark a. Eby D.D.S., P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901018199 Issued in MI

Legal business name

MARK A. EBY D.D.S., P.C.

Practice address

15555 S Telegraph Rd
Suite 7
Monroe, MI 48161-4000

Phone

(734) 243-5200

Fax

(734) 241-6127

NPI assigned

May 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mark Anthony Eby, D.D.S.NPI 1710141270

Title

President

Phone

(734) 243-5200

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 Anthony Eby, DDS

  • General Practice Dentistry
  • Monroe, MI
  • NPI 1710141270
  Authorized official Same address or phone

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1629287255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15555 S TELEGRAPH RD",
            "address_2": "SUITE 7",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481614000",
            "telephone_number": "734-243-5200",
            "fax_number": "734-241-6127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15555 S TELEGRAPH RD",
            "address_2": "SUITE 7",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481614000",
            "telephone_number": "734-243-5200",
            "fax_number": "734-241-6127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK A. EBY D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "EBY",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-243-5200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901018199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Louise Marcinak, MA, LMSW, CAAC
• Robin Marie Margraves, LPN
• Maria T McMullin DDS PLLC (McMullin Dental Care)
• Karam Marji, DMD
• Mark a Snider MD PC
• Anna Marks
• Wingston Marri, PT
• Earl Mac Marshall Jr., MD
• Kimberly Diann Marshall, BSHS, MSP
• Felicia Martinez

• General Practice Dentistry in Monroe, MI
• Providers in Monroe, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.