Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK RICHARD CHURCH, DMD, MS
ActiveDR. MARK RICHARD CHURCH, DMD, MS is a Orthodontics healthcare provider located in FORT HOOD, Texas. NPI 1679733703 is currently active in the NPPES registry. Verify at CMS.
Orthodontics · FORT HOOD, TX
Registration Details
- NPI Number
- 1679733703
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 12, 2008 (18.131240694928 yrs)
- Last Updated
- Dec 4, 2019
- Licenses
-
8618 (KY)60884792 (WA)
Practice Information
- Address
-
4431 68TH STREETU S ARMY DENTAL ACTIVITYFORT HOOD, TX, 76544Browse TX providers · Browse ZIP 76544
- Phone
- 2534951193
- Primary Specialty
-
Orthodontics
1223X0400X
- Additional Specialty
- Orthodontics
Other Orthodontics Providers in FORT HOOD, TX
| Name | Credential | NPI |
|---|---|---|
| DR. SARAH MAE JOVANOVSKI | D.M.D. | 1538397609 |
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.