Active NPIIndividual providerSole proprietor

Mark Abzug

Dentist, General Practice in Phoenix, Arizona

NPI Number1871648543
Practice location
11110 N Tatum Blvd, Suite 102, Phoenix, AZ 85028-1607
Fax
—
Last updated
July 8, 2007

Mark Abzug is a Dentist, General Practice based in Phoenix, AZ. Mark Abzug practices in Phoenix, AZ. The NPI Number for Mark Abzug is 1871648543 and holds a License No. 2576 (AZ). The current practice location address for Mark Abzug is 11110 N Tatum Blvd, Suite 102, Phoenix, AZ 85028-1607 and can be reached out via phone at 602-977-1110.

Provider Profile Details

NPI Number
1871648543
Provider Name
Mark Abzug
Provider Entity Type
Individual
Gender
Male
Address
11110 N Tatum Blvd, Suite 102, Phoenix, AZ 85028-1607
Phone Number
602-977-1110
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
January 24, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
11110 N Tatum Blvd
Suite 102
Phoenix, AZ 85028-1607
State
Arizona
Zip
85028-1607
Phone Number
602-977-1110
Phoenix, AZ 85028Get directions →

Provider Business Mailing Address Details

Address
11110 N Tatum Blvd
Suite 102
Phoenix, AZ 85028-1607
City
Phoenix
State
AZ
Zip
85028-1607

License Information

License Number
2576
License State
AZ
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Mark Abzug?

The NPI number of Mark Abzug is 1871648543. It was assigned on January 24, 2007 and is currently active in the NPPES registry.

What is the specialty of Mark Abzug?

Mark Abzug is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in AZ under license number 2576.

Where does Mark Abzug practice?

The practice location is 11110 N Tatum Blvd, Suite 102, Phoenix, AZ 85028-1607. The office can be reached at 602-977-1110 (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 1871648543 directly on the NPPES registry website.

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