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

DR. MARK SCOTT ERICSON, DDS

Active Sole Proprietor

DR. MARK SCOTT ERICSON, DDS is a Oral & Maxillofacial Surgery healthcare provider located in HAYWARD, California. NPI 1952374761 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery · HAYWARD, CA

Registration Details

NPI Number
1952374761
Provider Type
Individual
Gender
Male
NPI Issued
Feb 10, 2006 (20.497181033165 yrs)
Last Updated
Apr 4, 2012
Licenses
22DI02230300 (NJ)
23691 (TX)
60084 (CA)
Sole Proprietor
Yes

Practice Information

Address
1320 APPLE AVE STE 104
HAYWARD, CA, 945411552
Browse CA providers · Browse ZIP 94541
Phone
3608709097
Fax
5105828147
Primary Specialty
Oral & Maxillofacial Surgery
1223S0112X
Additional Specialty
Oral & Maxillofacial Surgery
Additional Specialty
Oral & Maxillofacial Surgery

Other Oral & Maxillofacial Surgery Providers in HAYWARD, CA

Name Credential NPI
DR. ROBERT V WICK DDS 1598873853
DR. SIRISH MAKAN DDS 1821386285
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.