Mark C. Austin Omfs, PLLC

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

7348 Issued in NC

Legal business name

MARK C. AUSTIN OMFS, PLLC

Doing business as

Austin Oral & Maxillofacial Surgery

Practice address

2001 South Baxter Drive
Leland, NC 28451

Phone

(910) 769-1605

Fax

(910) 769-1209

NPI assigned

Dec 2, 2013

Organization subpart

No

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

Authorized official

Name

Amy David

Title

Practice Administrator

Phone

(910) 231-3134

Specialties & licenses 1

Addresses

Other names 1

• Austin Oral & Maxillofacial Surgery Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Christopher Austin, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Leland, NC
  • NPI 1457427924
  NPD (past)

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

{
    "created_epoch": "1385942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385942400000",
    "number": "1740611706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 SOUTH BAXTER DR.",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "28451",
            "telephone_number": "910-769-1605",
            "fax_number": "910-769-1209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 SOUTH BAXTER DRIVE",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "28451",
            "telephone_number": "910-769-1605",
            "fax_number": "910-769-1209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK C. AUSTIN OMFS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-02",
        "last_updated": "2013-12-02",
        "status": "A",
        "authorized_official_last_name": "DAVID",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "910-231-3134"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "NC",
            "license": "7348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Austin Oral & Maxillofacial Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• William Blake Madaris, PT, DPT
• Margaret C Maercklein, MD
• Frank J Malinoski, MD, PHD
• William Joseph Malivuk, PA-C
• Johnny Leroy Manning
• Diana Marmolejos, NP
• Donna Marie Martucci, PTA
• Karen Lynn Masterson, L.P.C.
• Matthew C Miller Dba Cornelius Christian Counseling
• Abbey Jones McClanahan, DPT

• Oral & Maxillofacial Surgery (D.M.D.) in Leland, NC
• Providers in Leland, NC by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.