DR. MARK CHARLES WORTMAN (NPI# 1467546192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467546192 |
| Entity Type | Individual |
| Full Name | DR. MARK CHARLES WORTMAN |
| Credential | D.D.S. |
| Practice Address |
8136 21 Mile Rd. Shelby Twp MI 48317 |
| Practice Telephone | 5867260606 |
| Practice Fax Number | 5867261523 |
| Mailing Telephone | 5867260606 |
| Mailing Fax Number | 5867261523 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2901017296 | MI | Dental Providers |
| Street Address |
8136 21 MILE RD. |
| City | SHELBY TWP |
| State | MI |
| Zip Code | 48317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891329686 | Jasmine Withers | Driver | 45835 Brownell St, Apt 9, Utica, MI 48317 | 2020-03-02 |
| 1942851670 | Kn Mental Health Services LLC | Social Worker | 1111 Hall Road, Utica, MI 48317 | 2019-09-24 |
| 1710461421 | Pureland Physical Therapy | Physical Medicine & Rehabilitation | 45555 Mound Rd, Shelby Twp, MI 48317 | 2018-09-18 |
| 1417433566 | Stephanie Marie Renner | Occupational Therapist | Regency At Shelby, 7401 22 Mile Road, Shelby Charter Township, MI 48317 | 2018-07-12 |
| 1437645959 | Jonathan G Deck | Physician Assistant | 46961 Vandyke Ave, Sheby Township, MI 48317 | 2018-07-09 |
| 1013407261 | Meredith Ann Schramski | Physician Assistant | 46961 Van Dyke Ave, Shelby Township, MI 48317 | 2018-05-14 |
| 1114446184 | Patrick Michael Roberts | Physician Assistant | 50149 Hedgeway Dr, Shelby Twp, MI 48317 | 2017-09-11 |
| 1427571702 | Boby Philip Manalel | Physical Therapist | 11150 Nature Way, Shelby Twp, MI 48317 | 2017-07-19 |
| 1285155119 | Shelby Urgent Care Walk-in Clinic | Family Medicine | 46965 Van Dyke Ave, Shelby Twp, MI 48317 | 2017-06-30 |
| 1942650718 | Samantha Parison | Technician, Other | 47980 Shelby Road, Shelby Township, MI 48317 | 2016-06-13 |
| Find all providers in zip 48317 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679183552 | Jeffrey T Baker Dds PC | Dentist | 8152 25 Mile Rd Ste C, Shelby Twp, MI 48316 | 2020-08-05 |
| 1679835250 | Nathan C Stachel | Dentist | 51725 Van Dyke Ave, Shelby Twp, MI 48316-4451 | 2012-06-11 |
| 1437483484 | Portable Dental Services | Dentist | 15055 22 Mile Rd # 2, Shelby Twp, MI 48315-4401 | 2009-09-23 |
| 1871769232 | Eugene E Yuhas | Dentist | 53505 Van Dyke, Shelby Twp, MI 48316 | 2008-05-06 |
| 1801007745 | Advancedpleasantdental | Dentist | 48491 Van Dyke Rd, Shelby Twp, MI 48317 | 2007-05-24 |
| 1720113384 | Gregory John Pine | Dentist | 49095 Schoenherr, Shelby Twp, MI 48315 | 2007-02-23 |
| 1851461347 | Mark R Sullivan Dds | Dentist | 54951 Mound Road, Shelby Twp, MI 48316-6028 | 2006-11-09 |
| 1407812571 | Michelle Claudine Dziurgot | Dentist | 50202 Schoenherr, Shelby Twp, MI 48315 | 2006-04-26 |
| 1922538370 | Benjamin Thomas Gietzen | Dentist | 51333 Mound Rd, Shelby Twp, MI 48316-4344 | 2017-06-18 |
| 1659689750 | Charles P Beckwell Dds, Family&cosmetic Dental,plc | Dentist | 52835 Hayes Rd, Shelby Twp, MI 48315-2522 | 2010-09-23 |
| Find all providers in SHELBY TWP | ||||
| City | SHELBY TWP |
| Zip Code | 48317 |
Please comment or provide details below to improve the information on DR. MARK CHARLES WORTMAN.
| 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.