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Dr. Mark Joseph Lonergan, DMD
Oral and Maxillofacial Surgery (Dentist) in Holland, Michigan
NPI 1952384521

Mark Joseph Lonergan is a Oral and Maxillofacial Surgery (Dentist) based in Holland, MI and is specialized in Oral and Maxillofacial Surgery. Mark Joseph Lonergan practices in Holland, MI and has the professional credentials of DMD. The NPI Number for Mark Joseph Lonergan is 1952384521 and holds a License No. 2901016242 (Michigan).

The current practice location address for Mark Joseph Lonergan is 601 Michigan Ave, Holland, MI and can be reached out via phone at 616-392-2329 and via fax at 616-392-9610.

Location: 601 Michigan Ave, Holland, MI, 49423-4951
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952384521
Provider Name
Mark Joseph Lonergan
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
601 Michigan Ave, Holland, MI, 49423-4951
Phone Number
616-392-2329
Fax Number
616-392-9610
Provider Enumeration Date
11/28/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2987145 05 MI
9757060360 01 MI BCBS MEDICAL
2980879 05 MI
D162420 01 MI BCBS DENTAL
institution
Provider Business Practice Location Address Details
Address
601 Michigan Ave
City
Holland
State
Michigan
Zip
49423-4951
Phone Number
616-392-2329
Fax Number
616-392-9610
person
Provider Business Mailing Address Details
Address
601 Michigan Ave
City
Holland
State
Michigan
Zip
49423-4951
Phone Number
616-392-2329
Fax Number
616-392-9610
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
2901016242 (Pennsylvania)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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