Mark M Ingram, DMD is a
Dentist - General Practice based in Vienna, Georgia. Mark M Ingram is licensed to practice in Georgia (license number 9355) and his current practice location is
1407 E Union St, Vienna, Georgia. He can be reached at his office (for appointments etc.) via phone at
(229) 268-6079.
NPI number for Mark M Ingram is 1982758223 and his current mailing address is 1407 E Union St, Vienna, Georgia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1982758223.
Healthcare Provider's Profile
| Full Name | Mark M Ingram |
|---|
| Gender | Male |
|---|
| Speciality | Dentist - General Practice |
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| Location | 1407 E Union St, Vienna, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1982758223
- Provider Enumeration Date: 01/23/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mark M Ingram such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1982758223 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 9355 (Georgia) | 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. Mark M Ingram 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 |
|---|
Mark M Ingram, DMD
1407 E Union St,
Vienna, GA 31092-7531
Ph: (229) 268-6079 | Mark M Ingram, DMD
1407 E Union St,
Vienna, GA 31092-7531
Ph: (229) 268-6079 |
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