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MARK S. GRESKOVICH DMD PA NPI 1518281351


NPI Information

NPI: 1518281351
Provider Name: MARK S. GRESKOVICH DMD PA
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
4850 N 9TH AVE STE 4
PENSACOLA, FL
ZIP 32503
Phone: (850) 477-1125
Get Directions

MARK S. GRESKOVICH DMD PA is an oral and maxillofacial surgery dentist in Pensacola, FL. The provider is 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. MARK S. GRESKOVICH DMD PA NPI is 1518281351. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4850 N 9TH AVE STE 4
PENSACOLA, FL
ZIP 32503-406
Phone: (850) 477-1125
Fax: (850) 477-1125

The provider's authorized official is Lori Brock .
The authorized official title is Mgr and has the following contact phone number (850) 477-1125.

The enumeration date for this NPI number is 3/23/2010 and was last updated on 3/23/2010.


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
11223S0112XDentistOral and Maxillofacial SurgeryDN0011988FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1U35085MEDICARE UPINFLORIDA

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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