Mark S. Jefferies, DMD, PLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MARK S. JEFFERIES, DMD, PLC

Practice address

2465 Centreville Rd
J-15
Herndon, VA 20171-4586

Phone

(703) 793-1771

NPI assigned

Jun 25, 2008

Last updated

Jun 25, 2008By 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 Steven Jefferies Jr., DMDNPI 1750454179

Title

President

Phone

(703) 793-1771

Specialties & licenses 1

Addresses

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 Steven Jefferies Jr., DMD

  • Dentist
  • Herndon, VA
  • NPI 1750454179
  Authorized official Same address or phone

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1922260637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2465 CENTREVILLE RD",
            "address_2": "J-15",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201714586",
            "telephone_number": "703-793-1771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2465 CENTREVILLE RD",
            "address_2": "J-15",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201714586",
            "telephone_number": "703-793-1771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK S. JEFFERIES, DMD, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-25",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "JEFFERIES",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-793-1771",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ira Marathe, M.D.
• Erica L Marchessault, DPT
• Paula Lucia Marcolin, LPC
• Marcos Grande DDS PLLC (Express Smiles)
• Gabrielle Marinelli
• Michelle Christine Market, LPC
• Roberto Marquez
• Carroll Martin, LCSW
• Leslie Marie Martin, LCSW, CSAC
• Daniel F Martino, LPC, CSAC

• General Practice Dentistry in Herndon, VA
• Providers in Herndon, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.