Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MARK GLENN MADDOX, DDS
Active Sole ProprietorMR. MARK GLENN MADDOX, DDS is a Dentist healthcare provider located in TUOLUMNE, California. NPI 1679732432 is currently active in the NPPES registry. Verify at CMS.
Dentist · TUOLUMNE, CA
Registration Details
- NPI Number
- 1679732432
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 6, 2008 (18.193550519861 yrs)
- Last Updated
- Jun 6, 2008
- License
-
23849D (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
18400 CHESTNUT STTUOLUMNE, CA, 95379Browse CA providers · Browse ZIP 95379
- Phone
- 2099284262
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in TUOLUMNE, CA
| Name | Credential | NPI |
|---|---|---|
| DR. DENNIS CHARLES DRYDEN | DDS | 1487650701 |
| DR. JAMES SCHULER | — | 1326384413 |
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.