Mark E Bostic D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6318 Issued in NC

Legal business name

MARK E BOSTIC D.D.S.

Practice address

713 College St
Oxford, NC 27565-2718

Phone

(919) 693-7635

Fax

(919) 693-8276

NPI assigned

May 8, 2007

Last updated

Aug 22, 2020By 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 E Bostic, DDSNPI 1245309475

Title

Dentist

Phone

(919) 693-7635

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 E Bostic, D.D.S.

  • General Practice Dentistry
  • Oxford, NC
  • NPI 1245309475
  NPD (past) Authorized official

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780897322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 COLLEGE ST",
            "city": "OXFORD",
            "state": "NC",
            "postal_code": "275652718",
            "telephone_number": "919-693-7635",
            "fax_number": "919-693-8276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 COLLEGE ST",
            "city": "OXFORD",
            "state": "NC",
            "postal_code": "275652718",
            "telephone_number": "919-693-7635",
            "fax_number": "919-693-8276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK E BOSTIC D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOSTIC",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "919-693-7635",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "6318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Oxford, NC
• Providers in Oxford, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.