Mr Mark W Boback, DDS is a
Dentist based in Aurora, Minnesota. Mr Mark W Boback is licensed to practice in Minnesota (license number 7982) and his current practice location is
22 W 3rd Ave N, Aurora, Minnesota. He can be reached at his office (for appointments etc.) via phone at
(218) 229-3341.
NPI number for Mr Mark W Boback is 1700997327 and his current mailing address is 27 N Erie St, Aurora, Minnesota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1700997327.
Healthcare Provider's Profile
| Full Name | Mr Mark W Boback |
|---|
| Gender | Male |
|---|
| Speciality | Dentist |
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| Location | 22 W 3rd Ave N, Aurora, Minnesota |
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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: 1700997327
- Provider Enumeration Date: 08/31/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Mark W Boback such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700997327 | NPI | - | NPPES |
| 6175382 | Other | MN | MNCARE # |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 7982 (Minnesota) | 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. Mr Mark W Boback 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 |
|---|
Mr Mark W Boback, DDS
27 N Erie St,
Aurora, MN 55705
Ph: (218) 229-2112 | Mr Mark W Boback, DDS
22 W 3rd Ave N,
Aurora, MN 55705
Ph: (218) 229-3341 |
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