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Mark Pefley
Dental Clinic/Center in Anderson, Indiana
NPI 1326500323

Mark Pefley is a Dental Clinic/Center based in Anderson, IN and is specialized in Dental. Mark Pefley practices in Anderson, IN. The NPI Number for Mark Pefley is 1326500323 and holds a License No. (Indiana).

The current practice location address for Mark Pefley is 1736 Broadway St, Anderson, IN and can be reached out via phone at 765-642-3588 and via fax at 765-649-1226.

Location: 1736 Broadway St, Anderson, IN, 46012-2447
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1326500323
Provider Name
Mark Pefley
Credential
Provider Entity Type
Organization
Address
1736 Broadway St, Anderson, IN, 46012-2447
Phone Number
765-642-3588
Fax Number
765-649-1226
Provider Enumeration Date
04/01/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10017297OA 05 IN
institution
Provider Business Practice Location Address Details
Address
1736 Broadway St
City
Anderson
State
Indiana
Zip
46012-2447
Phone Number
765-642-3588
Fax Number
765-649-1226
person
Provider Business Mailing Address Details
Address
1736 Broadway St
City
Anderson
State
Indiana
Zip
46012-2447
Phone Number
765-642-3588
Fax Number
765-649-1226
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
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Definition
Definition to come...
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