DR. MARK SCOTT ERICSON DDS NPI 1952374761

NPI Information

NPI: 1952374761
Provider Name: DR. MARK SCOTT ERICSON, DDS
Classification: Dentist - 1223S0112X
Entity Type: Individual

Specialization: Oral and Maxillofacial Surgery

Address:
1320 APPLE AVE STE 104
HAYWARD, CA
ZIP 94541
Phone: (360) 870-9097
Get Directions

DR. Mark Scott Ericson, DDS is an oral and maxillofacial surgery dentist in Hayward, CA. 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. DR. Mark Scott Ericson, DDS NPI is 1952374761. 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:

1320 APPLE AVE STE 104
HAYWARD, CA
ZIP 94541-552
Phone: (360) 870-9097
Fax: (510) 582-8147

The enumeration date for this NPI number is 2/10/2006 and was last updated on 4/4/2012.

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	1223S0112X	Dentist	Oral and Maxillofacial Surgery	23691	TEXAS	No
2	1223S0112X	Dentist	Oral and Maxillofacial Surgery	22DI02230300	NEW JERSEY	No
3	1223S0112X	Dentist	Oral and Maxillofacial Surgery	60084	CALIFORNIA	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: 11/14/2023

NPI Synchronization or Removal

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