Mark Henry Nagorka, D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

30.028086 Issued in OH

Practice address

4774 Munson St NW Ste 102
Canton, OH 44718-3634

Phone

(330) 494-6653

Fax

(330) 494-6630

NPI assigned

Jul 25, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Feb 23, 2026 through Feb 23, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dietrich & Associates Oral and Maxillofacial Surgery, Inc.

  • Oral and Maxillofacial Surgery (Dentist)
  • Canton, OH
  • NPI 1528153533
  NPD (past)
• Detroit Receiving Hospital and University Health Center

  • General Acute Care Hospital
  • Detroit, MI
  • NPI 1801857362
  NPD (past)

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

{
    "created_epoch": "1532476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1841777547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 MOORE RD STE 304B",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443195218",
            "telephone_number": "248-705-6145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4774 MUNSON ST NW STE 102",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447183634",
            "telephone_number": "330-494-6653",
            "fax_number": "330-494-6630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGORKA",
        "first_name": "MARK",
        "middle_name": "HENRY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-25",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OH",
            "license": "30.028086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John A Nadas, M.D.
• Ned A Nafziger
• Nagapradeep Nagajothi, M.D.
• Maharshi S Nagda
• Vamsi Nagineni, MD
• Olivia Grace Nagy
• Nahj Services LLC
• Himani Ratnakar Naik, MD
• Najla I Najim, MD
• Kathleen A Nakoneczny, LPCC-S

• Oral and Maxillofacial Surgery (Dentist) in Canton, OH
• Providers in Canton, OH by specialty
• Oral and Maxillofacial Surgery (Dentist) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.