DR. MARK L. BERNSTEIN (NPI# 1659321495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659321495 |
| Entity Type | Individual |
| Full Name | DR. MARK L. BERNSTEIN |
| Credential | D.D.S. |
| Practice Address |
501 S Preston St School of Dentistry, Suite 334 Louisville KY 40292-0001 |
| Mailing Address |
Dept. of Surgical and Hospital Dentistry University of Louisville School of Dentistry Louisville KY 40292-0001 |
| Practice Telephone | 5028525083 |
| Practice Fax Number | 5028525988 |
| Mailing Telephone | 5028525083 |
| Mailing Fax Number | 5028525988 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2007-11-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0106X |
Dentist Specialization: Oral and Maxillofacial Pathology |
4807 | KY | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 60003381 | 05 | |
| KY | ORAL PATH LAB UPIN | W01743 | 01 |
| KY | DORAL DENTAL | 9178936 | 01 |
| KY | ANTHEM BC BS | 000000311546 | 01 |
| KY | ORAL PATH MEDICARE PIN | 4013501 | 01 |
| KY | PASSPORT HEALTH PLAN | 50015221 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699114892 | Mark Randall Bernstein | Pharmacist | 12595 Olive Blvd, Saint Louis, MO 63141-6311 | 2013-06-20 |
| 1356499222 | Mark Allan Bernstein | Psychoanalyst | 952 E Broadway, Woodmere, NY 11598-1423 | 2007-01-08 |
| 1952494403 | Mark J Bernstein | Dentist | 13321 New Hampshire Ave Suite 102, Silver Spring, MD 20904 | 2006-10-02 |
| 1487756201 | Mark Henry Bernstein | Psychiatry & Neurology | 593 Bethlehem Pike, Suite 4b, Montgomeryville, PA 18936 | 2006-09-02 |
| 1770795734 | Mark Henry Bernstein | Psychiatry & Neurology | 599 Farrington Hwy, Suite 100, Kapolei, HI 96707-2001 | 2007-05-04 |
| 1790859007 | Mark L. Bernstein | Orthopaedic Surgery | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2006-11-20 |
| 1659384428 | Mark J Bernstein | Psychiatry & Neurology | 3 Coates Dr, Suite 8, Goshen, NY 10924-6764 | 2006-08-14 |
| 1710909502 | Mark L Bernstein | Internal Medicine | 2500 Route 347, Bldg 8d, Stony Brook, NY 11790 | 2006-07-24 |
| 1588692420 | Mark Bernstein | Social Worker | 7701 13th Ave, Brooklyn, NY 11228-2413 | 2006-06-29 |
| 1184672719 | Mark D Bernstein | Psychiatry & Neurology | 3529 Sacramento St, San Francisco, CA 94118-1867 | 2006-05-05 |
| Street Address |
501 S PRESTON ST SCHOOL OF DENTISTRY, SUITE 334 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40292-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326043555 | Wendy Stavrides Hupp | Dentist | 501 S Preston St, Louisville, KY 40202-1701 | 2005-06-15 |
| 1598393183 | Timothy Michael Haffner | Student in an Organized Health Care Education/Training Program | 501 S Preston St, Louisville, KY 40202-1701 | 2020-03-30 |
| 1174166821 | Muhammad Saleh | Dentist | 501 S Preston St, Louisville, KY 40202-1701 | 2019-10-25 |
| 1639729593 | Gustavo Machado Santaella | Dentist | 501 S Preston St, Louisville, KY 40202-1701 | 2019-09-12 |
| 1235796988 | Daniel Flaherty Ritchey | Dentist | 501 S Preston St, Louisville, KY 40202-1701 | 2019-05-28 |
| 1184280778 | Jonathan Thomas | Student in an Organized Health Care Education/Training Program | 501 S Preston St, Louisville, KY 40202-1701 | 2019-05-20 |
| 1669939559 | Evan M Harpster | Dentist | 501 S Preston St, Louisville, KY 40202-1701 | 2019-02-27 |
| 1275099624 | Aikaterini Kavvadia | Dentist | 501 S Preston St, Louisville, KY 40202-1701 | 2019-02-11 |
| 1316431372 | Parker Haycock | Dentist | 501 S Preston St, Louisville, KY 40202-1701 | 2018-06-21 |
| 1679066526 | Troy Bancha Tran | Dentist | 501 S Preston St, Louisville, KY 40202-1701 | 2018-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427698703 | Christopher Robert Millett | Music Therapist | Attn: Chris Millett - Music Therapy Clinic, School of M, 2301 South 3rd St, Louisville, KY 40292 | 2020-01-14 |
| 1376048561 | Dallas Samuel Hagman | Student in an Organized Health Care Education/Training Program | Orthopaedic Surgery Academic Office, Attn: Monica Welsh, 550 S. Jackson Street, Acb, 1st Floor, Louisville, KY 40292 | 2018-03-28 |
| 1477087898 | Bryan T Kendricks | Dentist | School of Dentistry University of Louisville, Rm 148, Louiville, KY 40292 | 2017-04-12 |
| 1619391778 | Rebecca Park | Specialist/Technologist | 2125 S Floyd St, Louisville, KY 40292 | 2014-02-10 |
| 1700148483 | Kenneth Saad Chakour | Orthopaedic Surgery | 550 South Jackson Street, 1st Floor, Ambulatory Care Building, Louisville, KY 40292 | 2012-06-08 |
| 1871607150 | Barbara Ann Stetson | Psychologist | Dept of Psychological & Brain Sciences, 317 Life Sci Ences Bldg, Univ of Louisville, Louisville, KY 40292 | 2006-08-17 |
| 1508848854 | Maya Leggett | Emergency Medicine | Department of Surgery; School of Medicine, University of Louisville, Louisville, KY 40292 | 2005-11-14 |
| 1396277067 | Tamour Khan Tareen | Student in an Organized Health Care Education/Training Program | 500 South Preston Street, Hsc-a Rm. 113, Louisville, KY 40292 | 2017-03-31 |
| 1780079905 | Jae Kim | Internal Medicine | 201 Abraham Flexner Way Ste 600, Louisville, KY 40292 | 2015-04-03 |
| 1992044424 | Eiad Nehad Elathamna | Dentist | 501 South Preston Street, Room # 312, Louisville, KY 40292 | 2013-02-04 |
| Find all providers in zip 40292 | ||||
| Taxonomy Code | 1223P0106X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Pathology |
| The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922299387 | Brian Spencer Shumway | Dentist | School of Dentistry 501 South Preston Street, Faculty Practice, Suite 334, Louisville, KY 40292-0001 | 2007-08-09 |
| 1619046646 | Howard Dale Klein | Dentist | 1313 Lyndon Lane, Suite 214, Louisville, KY 40222-7302 | 2006-11-06 |
| 1497838262 | John J Sauk | Dentist | 501 S Preston St, Louisville, KY 40202-1701 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831530641 | Molly Housley Smith | Dentist | Uk College of Dentistry 800 Rose Street Rm 530, Lexington, KY 40536-0001 | 2013-07-09 |
| 1043229545 | Alan R Gould | Dentist | 5805 W Highway 22, Crestwood, KY 40014-7244 | 2006-08-05 |
| 1740253509 | Craig B Fowler | Dentist | 800 Rose St Mn530, Uk Oral Pathology Lab, Ukmc Rm, Lexington, KY 40536-0297 | 2006-02-10 |
| 1225019748 | Thomas M. Thompson | Dentist | 1848 Lyda Ave, Bowling Green, KY 42104-3361 | 2005-11-10 |
| 1649261850 | Jeffrey M Clark | Dentist | 1938 Lyda Ave, Bowling Green, KY 42104-3326 | 2005-11-04 |
| 1578829974 | Rashidah Tynetta Wiley | Dentist | 800 Rose St, Lexington, KY 40536 | 2012-04-10 |
| 1437315272 | Shane Anthony Williams | Dentist | 1938 Lyda Ave, Bowling Green, KY 42104-3326 | 2008-07-31 |
| 1013104892 | Southern Kentucky Oral Surgery Associates Pllc | Dentist | 1938 Lyda Ave, Bowling Green, KY 42104-3326 | 2007-09-26 |
| 1891843504 | Jerry E Cohron | Dentist | 1938 Lyda Ave, Bowling Green, KY 42104-3326 | 2007-01-08 |
| 1164528113 | Yi-ling Lin | Dentist | 800 Rose St, Uk Oral Pathology Laboratory, Ukmc Rm Mn 530, Lexington, KY 40536-0297 | 2006-09-16 |
| Find all providers with the same taxonomy | ||||
| City | LOUISVILLE |
| Zip Code | 40292 |
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| 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.