Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK M ORTINAU, D.D.S.
ActiveDR. MARK M ORTINAU, D.D.S. is a Dentist healthcare provider located in ELLISVILLE, Missouri. NPI 1215976758 is currently active in the NPPES registry. Verify at CMS.
Dentist · ELLISVILLE, MO
Registration Details
- NPI Number
- 1215976758
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 6, 2006 (20.192032816458 yrs)
- Last Updated
- Jul 8, 2007
- License
-
12093 (MO)
Practice Information
- Address
-
12 HUTCHINSON RDELLISVILLE, MO, 630115702Browse MO providers · Browse ZIP 63011
- Phone
- 6363910122
- Fax
- 6363910185
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in ELLISVILLE, MO
| Name | Credential | NPI |
|---|---|---|
| MR. CHARLES MARCUS ZIEBA | DMD | 1720092489 |
| MRS. HEATHER LEA ZIEBA | DMD | 1184638744 |
| DR. JAMES EDWARD VANDEWATER | DMD | 1689780736 |
| DR. JOSEPH HERBERT LAFFLER | DDS | 1548369697 |
| CHRISTOPHER BERNARD LAMMERT | DDS | 1235296740 |
| ANDREW SCOTT MITCHELL | — | 1477684942 |
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.