Dr Kathryn Ricks Marks, DMD is a
Dentist based in Moody A F B, Georgia. Dr Kathryn Ricks Marks is licensed to practice in Michigan (license number 2901020308) and her current practice location is
23 Rd Medical Group, 3278 Mitchell Blvd, Moody A F B, Georgia. She can be reached at her office (for appointments etc.) via phone at
(229) 257-3136.
NPI number for Dr Kathryn Ricks Marks is 1629387089 and her current mailing address is 4414 Wood Hollow Cir, Valdosta, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1629387089.
Healthcare Provider's Profile
Full Name | Dr Kathryn Ricks Marks |
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Gender | Female |
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Speciality | Dentist |
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Location | 23 Rd Medical Group, Moody A F B, Georgia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1629387089
- Provider Enumeration Date: 10/04/2010
- Last Update Date: 04/14/2014
Medical Identifiers
Medical identifiers for Dr Kathryn Ricks Marks such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629387089 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 2901020308 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kathryn Ricks Marks is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Kathryn Ricks Marks, DMD 4414 Wood Hollow Cir, Valdosta, GA 31605-6625 Ph: (517) 582-2335 | Dr Kathryn Ricks Marks, DMD 23 Rd Medical Group, 3278 Mitchell Blvd, Moody A F B, GA 31699-1500 Ph: (229) 257-3136 |
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