Mark F Souers DDS PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D10330 Issued in MN

Legal business name

MARK F SOUERS DDS PA

Practice address

1421 Wayzata Blvd
Suite #325
Wayzata, MN 55391-1939

Phone

(952) 476-6655

Fax

(952) 476-8293

NPI assigned

Aug 21, 2006

Organization subpart

No

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

Authorized official

Name

Mark Foster Souers, DDS

Title

President

Phone

(952) 476-6655

Specialties & licenses 1

Addresses

Other names 1

• Mark F Souers DDS Former legal business name

Locations

Practitioners 1

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

• Thomas Smyth, D.D.S.

  • General Practice Dentistry
  • Mankato, MN
  • NPI 1316081862
  NPD (past)

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861507329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 WAYZATA BLVD",
            "address_2": "SUITE #325",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "553911939",
            "telephone_number": "952-476-6655",
            "fax_number": "952-476-8293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 WAYZATA BLVD",
            "address_2": "SUITE #325",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "553911939",
            "telephone_number": "952-476-6655",
            "fax_number": "952-476-8293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK F SOUERS DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SOUERS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "FOSTER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-476-6655",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D10330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mark F Souers DDS",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Lynn Harris Luetgers, MA, LMFT
• Janell M Mace, HEALTH COACH
• Sherry Machen, PHD LP
• Patricia Lynn Mageli-Maley, M.A., L.P.
• Michael John Maley, MICHAEL MALEY, PH.D.
• Jennifer Ann Marquart
• Chloe Martin, ATC
• Bruce J Martinson, DDS
• Mary Christine Massaro, FNP
• Peggy Mathis

• General Practice Dentistry in Wayzata, MN
• Providers in Wayzata, MN by specialty
• General Practice Dentistry in Minnesota

• 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.