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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MARK S DOUGLAS, DDS, MSD

Active

DR. MARK S DOUGLAS, DDS, MSD is a Orthodontics healthcare provider located in ELK GROVE, California. NPI 1144388398 is currently active in the NPPES registry. Verify at CMS.

Orthodontics · ELK GROVE, CA

Registration Details

NPI Number
1144388398
Provider Type
Individual
Gender
Male
NPI Issued
Dec 4, 2006 (19.650329486114 yrs)
Last Updated
Jul 8, 2007
License
30536 (CA)

Practice Information

Address
4827 LAGUNA PARK DR
SUITE 5
ELK GROVE, CA, 957585159
Browse CA providers · Browse ZIP 95758
Phone
9163921885
Fax
9163921888
Primary Specialty
Orthodontics
1223X0400X

Other Orthodontics Providers in ELK GROVE, CA

Name Credential NPI
JOHN DOUGLAS WEBBER DDS 1477566925
DR. JASON DORMINEY D.M.D. 1245310051
DR. GREGORY LEE ADAMS D.D.S., M.S. 1073680492
DR. JOHN ANTHONY OSHETSKI DDS-MSD 1770647208
DR. BINH NGOC TRAN D.D.S. 1679639454
DR. DONALD PAUL ROLLOFSON DMD 1972656767
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.