Mark L Pledger, DDS

Primary specialty

Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X

License

41520 Issued in CA

Practice address

41011 California Oaks Rd.
Suite 102
Murrieta, CA 92562

Phone

(951) 600-1333

Fax

(951) 600-1782

NPI assigned

Jul 18, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Nov 21, 2015 through Nov 21, 2027

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 L. Pledger, DDS, Inc.

  dba Oral Surgery Associates of Temecula Valley

  • Oral and Maxillofacial Pathology Dentistry
  • Murrieta, CA
  • NPI 1699863795
  NPD (past) Authorized official
• Shabaz Sandhu Oral Surgery, Inc.

  • Oral and Maxillofacial Surgery (Dentist)
  • Murrieta, CA
  • NPI 1235095209
  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659399285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41011 CALIFORNIA OAKS RD.",
            "address_2": "SUITE 102",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "92562",
            "telephone_number": "951-600-1333",
            "fax_number": "951-600-1782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41011 CALIFORNIA OAKS RD.",
            "address_2": "SUITE 102",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "92562",
            "telephone_number": "951-600-1333",
            "fax_number": "951-600-1782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLEDGER",
        "first_name": "MARK",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "CA",
            "license": "41520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID NUMBER",
            "identifier": "0505697177",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Plan-It Life, Inc.
• Planned Parenthood of the Pacific Southwest
• Rene Plascencia
• Adrian Plasencia
• Platinum Women's Health and Wellness
• Heather Jill Pleskow, M.D.
• David R Plocki, DMD
• Marina Plumey, BCABA
• Podiatry Services
• Andrea Pogue, PA-C

• Oral and Maxillofacial Pathology Dentistry in Murrieta, CA
• Providers in Murrieta, CA by specialty
• Oral and Maxillofacial Pathology Dentistry in California

• 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.