| Dr Mark D Land Dmd Pc | |
|
445 Front Street Sulligent AL 35586 | |
| (205) 698-8113 | |
| Not Available |
| Full Name | Dr Mark D Land Dmd Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 445 Front Street, Sulligent, Alabama |
| Authorized Official Name and Position | Stacy Land (OFFICE MANAGER) |
| Authorized Official Contact | 2056988113 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark D Land Dmd Pc Po Box 661 Sulligent AL 35586-0661 Ph: (205) 698-8113 | Dr Mark D Land Dmd Pc 445 Front Street Sulligent AL 35586 Ph: (205) 698-8113 |
| NPI Number | 1093221772 |
|---|---|
| Provider Enumeration Date | 12/18/2017 |
| Last Update Date | 12/18/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093221772 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4714 (Alabama) | Primary |