Stephanie Mark, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401417813 Issued in VA

Practice address

12328 Towncenter PLZ
Sterling, VA 20164-7045

Phone

(703) 433-2436

NPI assigned

Jun 12, 2022

Sex

Female

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1654992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654992000000",
    "number": "1942930110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1185 WINDROCK DR",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221021547",
            "telephone_number": "610-570-4758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12328 TOWNCENTER PLZ",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201647045",
            "telephone_number": "703-433-2436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARK",
        "first_name": "STEPHANIE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-12",
        "last_updated": "2022-06-12",
        "certification_date": "2022-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401417813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas Mao
• Kelley Marfiak
• Julia Margol, DMD
• Marie Hooshmand DDS PC
• Gabriella M Marino
• Jessica Marie Elizabeth Marks
• Hope Ann Marshall, CANP
• Lauren Marshall
• Aldwin Terrell Martin, DC
• Bernadine Frances Martin, RN,C

• General Practice Dentistry in Sterling, VA
• Providers in Sterling, 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 12, 2022; 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.