Mark D. Land, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4714 Issued in AL

Practice address

445 Front Street
Sulligent, AL 35586

Phone

(205) 698-8113

Fax

(205) 698-7069

NPI assigned

May 1, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Practice roles

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

• Dr Mark D Land DMD PC

  • General Practice Dentistry
  • Sulligent, AL
  • NPI 1093221772
  NPD (past)

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962623470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P. O. BOX 661",
            "city": "SULLIGENT",
            "state": "AL",
            "postal_code": "35586",
            "telephone_number": "205-698-8113",
            "fax_number": "205-698-7069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 FRONT STREET",
            "city": "SULLIGENT",
            "state": "AL",
            "postal_code": "35586",
            "telephone_number": "205-698-8113",
            "fax_number": "205-698-7069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAND",
        "first_name": "MARK",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "4714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Health Pharmacy Inc
• Family Health Pharmacy Inc (Family Health Pharmacy)
• Jonathan Beasley Pharmacy Inc (Sullient Drug)
• Lamar Regional Health Center Lab
• Lamar Specialty Diagnostics
• Shana Lann
• Marion Regional Health - Winfield, Inc. (South Marion Primary Care Clinic-Sulligent)
• Vishal Modi, M.D.
• North Lamar County Rescue Squad, Inc. (North Lamar Emergency Medical Services)
• Northwest Medical Center Inc. (Sulligent Medical Clinic)

• General Practice Dentistry in Sulligent, AL
• Providers in Sulligent, AL by specialty
• General Practice Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.