| Donald M Marks | |
|
611 University Dr State College PA 16801-6552 | |
| (814) 234-0329 | |
| Not Available |
| Full Name | Donald M Marks |
|---|---|
| Speciality | Dentist |
| Location | 611 University Dr, State College, Pennsylvania |
| Authorized Official Name and Position | Donald M Marks (DENTIST) |
| Authorized Official Contact | 8142340329 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Donald M Marks 611 University Dr Suite 112 State College PA 16801-6552 Ph: () - | Donald M Marks 611 University Dr State College PA 16801-6552 Ph: (814) 234-0329 |
| NPI Number | 1225437890 |
|---|---|
| Provider Enumeration Date | 08/19/2014 |
| Last Update Date | 01/05/2015 |
| Medicare PECOS PAC ID | 5395068068 |
|---|---|
| Medicare Enrollment ID | O20150105000765 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225437890 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DS018302 (Pennsylvania) | Primary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Secondary |
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