Mark L Shefrin DMD PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

013646 Issued in GA

Legal business name

MARK L SHEFRIN DMD PC

Practice address

3540 Duluth Park LN Ste 270
270
Duluth, GA 30096-8511

Phone

(770) 497-8010

NPI assigned

Nov 18, 2008

Organization subpart

No

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

Authorized official

Name

Mark Shefrin, DMDNPI 1245351352

Title

Owner

Phone

(770) 497-8010

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Mark L Shefrin, DMD

  • Dentist
  • Duluth, GA
  • NPI 1245351352
  NPD (past) Authorized official
• Randall L Campbell, DDS

  • Dentist
  • Duluth, GA
  • NPI 1417173618
  NPD (past)

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

{
    "created_epoch": "1226966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418860800000",
    "number": "1780839803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3540 DULUTH PARK LN STE 270",
            "address_2": "270",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300968511",
            "telephone_number": "770-497-8010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3540 DULUTH PARK LN STE 270",
            "address_2": "270",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300968511",
            "telephone_number": "770-497-8010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK L SHEFRIN DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-18",
        "last_updated": "2014-12-18",
        "status": "A",
        "authorized_official_last_name": "SHEFRIN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-497-8010",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "GA",
            "license": "013646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Aria Mansoori, DPM
• Kristina Marie Marcinowski, PT, DPT
• Sierra Marcus, MA
• Mark Lynn OD & Associates (Visionworks)
• Mark Lynn OD & Associates PC (Visionworks)
• Marquez Family Medical Center LLC (Centro Medico Familiar)
• Orlin Marquez, APRN, FNP-BC
• Iridian Rafaela Marquina

• Dental Clinic/Center in Duluth, GA
• Providers in Duluth, GA by specialty
• Dental Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2014; 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.