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DR. MARK ALAN SUNDBERG DDS ABGD MAGD NPI 1366412058


NPI Information

NPI: 1366412058
Provider Name: DR. MARK ALAN SUNDBERG, DDS, ABGD, MAGD
Classification: Dentist - 1223X0400X
Entity Type: Individual

Specialization: Orthodontics and Dentofacial Orthopedics

Address:
BLDG 9900, 2ND FLOOR
U.S. ARMY DENTAL ACTIVITY - FT LEWIS
TACOMA, WA
ZIP 98431
Phone: (253) 968-4039
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DR. Mark Alan Sundberg, DDS, ABGD, MAGD is an orthodontics and dentofacial orthopedics dentist in Tacoma, WA. The provider is that area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. DR. Mark Alan Sundberg, DDS, ABGD, MAGD NPI is 1366412058. 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:

BLDG 9900, 2ND FLOOR
U.S. ARMY DENTAL ACTIVITY - FT LEWIS
TACOMA, WA
ZIP 98431-001
Phone: (253) 968-4039
Fax: (253) 968-5919

The enumeration date for this NPI number is 1/25/2006 and was last updated on 3/30/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223X0400XDentistOrthodontics and Dentofacial Orthopedics06999IOWAYes

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: 11/14/2023

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