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Mark Raymond Dmd Pllc
General Practice Dentistry in Coeburn, Virginia
NPI 1518006766

Mark Raymond Dmd Pllc is a General Practice Dentistry based in Coeburn, VA and is specialized in General Practice. Mark Raymond Dmd Pllc practices in Coeburn, VA. The NPI Number for Mark Raymond Dmd Pllc is 1518006766 and holds a License No. 0401410712 (Virginia).

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

Location: 208 Front St., Coeburn, VA, 24230-2214
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1518006766
Provider Name
Mark Raymond Dmd Pllc
Credential
Provider Entity Type
Organization
Address
208 Front St., Coeburn, VA, 24230-2214
Phone Number
276-395-6632
Fax Number
276-395-5601
Provider Enumeration Date
02/05/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9179077 05 VA
146346 01 VA ANTHEM BCBS
institution
Provider Business Practice Location Address Details
Address
208 Front St.
City
Coeburn
State
Virginia
Zip
24230
Phone Number
276-395-6632
Fax Number
276-395-5601
person
Provider Business Mailing Address Details
Address
208 Front St.
City
Coeburn
State
Virginia
Zip
24230
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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