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

DR. MARK DOUGLAS OLIVER, D.D.S.

Active Sole Proprietor

DR. MARK DOUGLAS OLIVER, D.D.S. is a Dentist healthcare provider located in LAGRANGE, Georgia. NPI 1629140207 is currently active in the NPPES registry. Verify at CMS.

Dentist · LAGRANGE, GA

Registration Details

NPI Number
1629140207
Provider Type
Individual
Gender
Male
NPI Issued
Nov 15, 2006 (19.731988374115 yrs)
Last Updated
Jul 16, 2009
License
DN010969 (GA)
Sole Proprietor
Yes

Practice Information

Address
409 W BROOME ST
LAGRANGE, GA, 302403107
Browse GA providers · Browse ZIP 30240
Phone
7068848523
Fax
7068844679
Primary Specialty
Dentist
122300000X

Other Dentist Providers in LAGRANGE, GA

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.