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Mark Anthony Raymond, DMD
General Practice Dentistry in Coeburn, Virginia
NPI 1245217074

Mark Anthony Raymond is a General Practice Dentistry based in Coeburn, VA and is specialized in General Practice. Mark Anthony Raymond practices in Coeburn, VA and has the professional credentials of DMD. The NPI Number for Mark Anthony Raymond is 1245217074 and holds a License No. 0401410712 (Virginia).

The current practice location address for Mark Anthony Raymond is 208 Front St W, Coeburn, VA and can be reached out via phone at 276-395-6632 and via fax at 276-395-5601.

Location: 208 Front St W, Coeburn, VA, 24230-2214
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245217074
Provider Name
Mark Anthony Raymond
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
208 Front St W, Coeburn, VA, 24230-2214
Phone Number
276-395-6632
Fax Number
276-395-5601
Provider Enumeration Date
12/22/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
146346 01 VA BLUE CROSS BLUE SHIELD
9179077 05 VA
institution
Provider Business Practice Location Address Details
Address
208 Front St W
City
Coeburn
State
Virginia
Zip
24230-3502
Phone Number
276-395-6632
Fax Number
276-395-5601
person
Provider Business Mailing Address Details
Address
208 Front St W
City
Coeburn
State
Virginia
Zip
24230-3502
Phone Number
276-395-6632
Fax Number
276-395-5601
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
0401410712 (Virginia)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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