MICHAEL L MARK (NPI# 1477618445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477618445 |
| Entity Type | Individual |
| Full Name | MICHAEL L MARK |
| Credential | DDS |
| Practice Address |
4001 Lake Otis Pkwy Suite 202 Anchorage AK 99508-5211 |
| Mailing Address |
10114 Wren Ln Eagle River AK 99577-8767 |
| Practice Telephone | 9073349995 |
| Practice Fax Number | 9073349951 |
| Mailing Telephone | 9073349995 |
| Mailing Fax Number | 9073349951 |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
931 | AK | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508310244 | Michael David Mark | Acupuncturist | 13677 Foothill Blvd Ste P, Fontana, CA 92335-0214 | 2016-08-11 |
| 1821082892 | Michael H Mark | Psychiatry & Neurology | 28467 Dupont Blvd, Millsboro, DE 19966-3749 | 2005-09-07 |
| 1558748665 | Michael Mark | Psychologist | 1230 Rosecrans Ave, Suite 300, Manhattan Beach, CA 90266-2477 | 2015-04-28 |
| 1982770665 | Michael B Mark | Counselor | 10717 Camino Ruiz Ste 207, San Diego, CA 92126-2364 | 2006-11-27 |
| 1912904640 | Michael Mark | Dentist | 1 Washington Sq, New Britain, CT 06051-1848 | 2005-07-07 |
| Street Address |
4001 LAKE OTIS PKWY SUITE 202 |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99508-5211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699764670 | Orest Mychajlo Harkacz Sr. | Dentist | 4001 Lake Otis Pkwy, Suite 202, Anchorage, AK 99508-5211 | 2005-10-20 |
| 1003269408 | Justin Erickson | Dentist | 4001 Lake Otis Pkwy, #200, Anchorage, AK 99508-5200 | 2016-07-20 |
| 1962896746 | Sean Walsh | Physician Assistant | 4001 Lake Otis Pkwy, Suite 206, Anchorage, AK 99508-5200 | 2015-03-19 |
| 1285025270 | Shawna Cooke | Registered Nurse | 4001 Lake Otis Pkwy, Anchorage, AK 99508-5200 | 2015-02-11 |
| 1992126486 | Matthew Paige Dds & Jason M Bressler Dds-anchorage, LLC | Dentist | 4001 Lake Otis Pkwy, #200, Anchorage, AK 99508-5200 | 2013-12-30 |
| 1639416001 | Foothills Dentistry Alaska, LLC | Dentist | 4001 Lake Otis Pkwy, Suite 100, Anchorage, AK 99508-5200 | 2013-01-05 |
| 1669613899 | Planned Parenthood of Alaska | Clinic/Center | 4001 Lake Otis Pkwy, Anchorage, AK 99508-5200 | 2009-03-18 |
| 1851573331 | Dimond Medical Clinic, LLC | Family Medicine | 4001 Lake Otis Pkwy, #100, Anchorage, AK 99508-5211 | 2007-11-27 |
| 1548386410 | Planned Parenthood of Alaska | Clinic/Center | 4001 Lake Otis Pkwy, Anchorage, AK 99508-5211 | 2007-03-22 |
| 1104959915 | Planned Parenthood of Alaska | Clinic/Center | 4001 Lake Otis Pkwy, Anchorage, AK 99508-5211 | 2007-03-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063349 | Alexandra L Davis | Student in an Organized Health Care Education/Training Program | 1202 E 36th Ave, Anchorage, AK 99508 | 2020-05-01 |
| 1366087108 | The Salvation Army, A California Corporation | Community/Behavioral Health | 3600 East 20th Avenue, Anchorage, AK 99508 | 2019-11-15 |
| 1679120349 | Kila Gilcart | Speech-Language Pathologist | 161 Klevin Street #103, Anchorage, AK 99508 | 2019-08-19 |
| 1326692963 | Shannon Maillet | Behavior Technician | 1650 S Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1427602044 | Frank Harris Lawson Iv | Behavior Technician | 1650 S. Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1104470723 | Vivalesi Seforosa Nair | Behavior Technician | 1650 South Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1043864267 | The Cozy Chalet Assisted Living Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3707 Mt Blanc Circle, Anchorage, AK 99508 | 2019-07-25 |
| 1942861778 | Christine Mary Hoover | Registered Nurse | Alaska Native Medical Center - Inpatient Pediatrics, 4315 Diplomacy Dr, Anchorage, AK 99508 | 2019-06-24 |
| 1215594502 | Ashley Ongtowasruk | Case Manager/Care Coordinator | 4441 Dipomacy Dr, Suite 500, Anchorage, AK 99508 | 2019-05-22 |
| 1659937019 | Rayne Johnson | Behavior Technician | 4000 San Ernesto Blvd, Anchorage, AK 99508 | 2019-05-11 |
| Find all providers in zip 99508 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316339526 | Matthew Mauger | Dentist | 4001 Lake Otis Pkwy Ste 202, Anchorage, AK 99508 | 2015-02-25 |
| 1497195119 | Jess T Ellis Dds, Ms, Inc | Dentist | 11741 Barr Rd, Anchorage, AK 99516-2164 | 2013-06-26 |
| 1740430586 | Jess Taylor Ellis | Dentist | 800 E Dimond Blvd Ste 3-600, Anchorage, AK 99515-2045 | 2008-09-29 |
| 1477765394 | Douglas J. Luiten, D.m.d., P.C. | Dentist | 4001 Laurel Street, Suite 208, Anchorage, AK 99508 | 2007-05-04 |
| 1780805838 | Heather R Sulte | Dentist | 2000 Abbott Road, Suite 100, Anchorage, AK 99507 | 2007-05-02 |
| 1699764670 | Orest Mychajlo Harkacz Sr. | Dentist | 4001 Lake Otis Pkwy, Suite 202, Anchorage, AK 99508-5211 | 2005-10-20 |
| 1265437321 | Richard A. Siry | Dentist | 2702 Denali St, Ste 200, Anchorage, AK 99503-2747 | 2005-06-16 |
| 1649713074 | Darin Anderson, LLC | Dentist | 800 E Dimond Blvd Ste 3-600, Anchorage, AK 99515-2045 | 2016-12-03 |
| 1952521346 | Douglas J Luiten | Dentist | 4001 Laurel St, Suite 208, Anchorage, AK 99508-5332 | 2007-04-26 |
| 1326103383 | Michael J. Mauger | Dentist | 4001 Lake Otis Pkwy, Suite 202, Anchorage, AK 99508-5211 | 2006-12-27 |
| Find all providers in ANCHORAGE | ||||
Please comment or provide details below to improve the information on MICHAEL L MARK.
| 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.