| Mark W. Icard, D.d.s. | |
|
5500 Highway 49 S Suite 500 Harrisburg NC 28075-8414 | |
| (704) 455-5003 | |
| (704) 455-3587 |
| Full Name | Mark W. Icard, D.d.s. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5500 Highway 49 S, Harrisburg, North Carolina |
| Authorized Official Name and Position | Mark Winslow Icard (DENTIST) |
| Authorized Official Contact | 7044555003 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark W. Icard, D.d.s. 5500 Highway 49 S Suite 500 Harrisburg NC 28075-8414 Ph: (704) 455-5003 | Mark W. Icard, D.d.s. 5500 Highway 49 S Suite 500 Harrisburg NC 28075-8414 Ph: (704) 455-5003 |
| NPI Number | 1841494341 |
|---|---|
| Provider Enumeration Date | 06/11/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841494341 | NPI | - | NPPES |
| 8994419 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5668 (North Carolina) | Primary |
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