DR. MARK NUTTALL D.M.D. NPI 1205218716

NPI Information

NPI: 1205218716
Provider Name: DR. MARK NUTTALL, D.M.D.
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
1289 WINCHESTER AVE
REEDSPORT, OR
ZIP 97467
Phone: (888) 468-0022
Get Directions

DR. Mark Nuttall, D.M.D. is a general practice dentist in Reedsport, OR. The provider is 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. DR. Mark Nuttall, D.M.D. NPI is 1205218716. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1289 WINCHESTER AVE
REEDSPORT, OR
ZIP 97467-373
Phone: (888) 468-0022
Fax: (541) 504-3907

The enumeration date for this NPI number is 6/19/2015 and was last updated on 10/6/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice	D10258	OREGON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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