- Practice location
- 58 S Pleasant St, Randolph, VT 05060-1365
- Phone
- 802-728-3344
- Fax
- —
- Last updated
- July 8, 2007
Mark Andrew Luttrell is a Dentist based in Randolph, VT. Mark Andrew Luttrell practices in Randolph, VT and has the professional credentials of DDS. The NPI Number for Mark Andrew Luttrell is 1316038268 and holds a License No. 989 (VT). The current practice location address for Mark Andrew Luttrell is 58 S Pleasant St, Randolph, VT 05060-1365 and can be reached out via phone at 802-728-3344.
Provider Profile Details
- NPI Number
- 1316038268
- Provider Name
- Mark Andrew Luttrell
- Credential
- DDS
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 58 S Pleasant St, Randolph, VT 05060-1365
- Phone Number
- 802-728-3344
- Primary Taxonomy
- Dentist · 122300000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- September 27, 2006
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 58 S Pleasant St
Randolph, VT 05060-1365 - City
- Randolph
- State
- Vermont
- Zip
- 05060-1365
- Phone Number
- 802-728-3344
Provider Business Mailing Address Details
- Address
- Po Box 425
Randolph, VT 05060-0425 - City
- Randolph
- State
- VT
- Zip
- 05060-0425
- Phone Number
- 802-728-3344
License Information
- License Number
- 989
- License State
- VT
- Taxonomy
- Dentist · 122300000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Mark A Luttrell, DDS?
The NPI number of Dr. Mark A Luttrell, DDS is 1316038268. It was assigned on September 27, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Mark A Luttrell, DDS?
Dr. Mark A Luttrell, DDS is registered under the primary taxonomy Dentist (code 122300000X), licensed in VT under license number 989.
Where does Dr. Mark A Luttrell, DDS practice?
The practice location is 58 S Pleasant St, Randolph, VT 05060-1365. The office can be reached at 802-728-3344 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1316038268 directly on the NPPES registry website.