DR. MARK S DOUGLAS


Address: 4827 Laguna Park Dr, Suite 5, Elk Grove, CA 95758-5159
Phone: 9163921885

DR. MARK S DOUGLAS (NPI# 1144388398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144388398
Entity Type Individual
Full Name DR. MARK S DOUGLAS
Credential DDS, MSD
Practice Address 4827 Laguna Park Dr
Suite 5
Elk Grove
CA 95758-5159
Practice Telephone 9163921885
Practice Fax Number 9163921888
Mailing Telephone 9163921885
Mailing Fax Number 9163921888
Enumeration Date 2006-12-04
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223X0400X Dentist
Specialization: Orthodontics and Dentofacial Orthopedics
30536 CA Dental Providers

Other Providers MARK DOUGLAS

NPI Name Taxonomy Address Enumeration
1306974464 Mark L Douglas Internal Medicine 5098 West Washington St, Ste 408, Cross Lanes, WV 25313-1419 2007-03-01
1508475062 Mark Douglas Social Worker 303 Fraser Dr, Hinesville, GA 31313-3712 2020-07-30
1649335118 Mark Stephen Douglas Dermatology 2080 Child St, Department of Dermatology - Naval Hospital Jacksonville, Jacksonville, FL 32214-5005 2006-12-26
1033226923 Mark A Douglas Recreation Therapist 2200 Fort Roots Dr, North Little Rock, AR 72114-1709 2006-08-24
1326050410 Mark A Douglas Emergency Medicine 1 Medical Center Drive, Biddeford, ME 04005 2006-08-13
1679576516 Mark Jason Douglas Ophthalmology 2880 Dauphin St, Mobile, AL 36606-2457 2005-05-24

Office Location

Street Address 4827 LAGUNA PARK DR
SUITE 5
City ELK GROVE
State CA
Zip Code 95758-5159

Providers in the same location

NPI Name Taxonomy Address Enumeration
1164789913 Amanda Zhan Chen Dentist 4827 Laguna Park Dr, Suite 5, Elk Grove, CA 95758-5159 2012-04-18
1730205501 Jamson Wu Dentist 4827 Laguna Park Dr, Suite 5, Elk Grove, CA 95758-5159 2007-03-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982244208 Obia Njoku Nurse Practitioner 9105 Bruceville Rd Ste 1a #580405, Elk Grove, CA 95758 2020-01-14
1992362362 Kimberly Abrahamson Student in an Organized Health Care Education/Training Program 9412 Big Horn Dr #6, Elk Grove, CA 95758 2019-05-21
1447737333 Elk Grove Rehab & Counseling Center Counselor 7807 Laguna Blvd., Suite 480, Elk Grove, CA 95758 2018-07-24
1114424579 Arielle Mize Dietitian, Registered 8161 Sheldon Road, #103, Elk Grove, CA 95758 2018-04-11
1154822609 Eston Garcia Behavior Technician 2366 Martime Drive, Elk Grove, CA 95758 2018-02-21
1912406364 Nicole Torneros Behavior Technician 2336 Maritime Drive, Elk Grove, CA 95758 2018-02-12
1134628712 Northern California Vasectomy Family Medicine 9045 Bruceville Rd Ste 100b, Elk Grove, CA 95758 2018-02-08
1083134399 Uchechi Mbonu Assisted Living Facility 7019 Mcgill Court, Elk Grove, CA 95758 2017-06-27
1922557362 Muhanad Aliakbar Driver 8275 Oakbriar Cir, Elk Grove, CA 95758 2016-09-27
1063868123 Teresa Vinciguerra Marriage & Family Therapist 9412 Elk Horn Blvd, Suite 6, Elk Grove, CA 95758 2016-05-09
Find all providers in zip 95758

Taxonomy Information

Taxonomy Code 1223X0400X
Grouping Dental Providers
Classification Dentist
Specialization Orthodontics and Dentofacial Orthopedics

Taxonomy Definition

That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629484985 Daniel Hulme Dentist 5010 Laguna Blvd Ste 101, Elk Grove, CA 95758-4148 2014-07-08
1134243470 George Shannon Mayweather Dentist 8013 Laguna Blvd Ste 1, Elk Grove, CA 95758-7920 2007-03-19
1770647208 John Anthony Oshetski Dentist 9340 W Stockton Blvd, 110, Elk Grove, CA 95758-8014 2006-12-20
1073680492 Gregory Lee Adams Dentist 7915 Laguna Blvd Ste 160, Elk Grove, CA 95758-7944 2006-11-29
1477566925 John Douglas Webber Dentist 9717 Elk Grove Florin Rd, #d, Elk Grove, CA 95624-2262 2006-08-15
1174939581 Chrishell Yates Dentist 5010 Laguna Blvd, Ste 101, Elk Grove, CA 95758-4148 2014-07-07
1508276460 Matthew August Sandretti Dentist 9727 Elk Grove Florin Rd, Elk Grove, CA 95624-2264 2014-04-30
1164789913 Amanda Zhan Chen Dentist 4827 Laguna Park Dr, Suite 5, Elk Grove, CA 95758-5159 2012-04-18
1376797209 Steven Harvey Scott Dentist 3001 Vaux Ave, Suite 1, Elk Grove, CA 95758-7470 2008-11-05
1962604389 Vincent T Chiappone Dentist 9340 W Stockton Blvd, Suite 110, Elk Grove, CA 95758-8014 2007-06-05
Find all providers in ELK GROVE

Competitor

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City ELK GROVE
Zip Code 95758

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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