DR. MARK A PLANT DDS PA NPI 1972519551

NPI Information

NPI: 1972519551
Provider Name: DR. MARK A PLANT, DDS, PA
Classification: Dentist - 1223S0112X
Entity Type: Individual

Specialization: Oral and Maxillofacial Surgery

PECOS Registration: Yes

Address:
2064 WASHINGTON ST N
TWIN FALLS, ID
ZIP 83301
Phone: (208) 734-1097
Get Directions

DR. Mark A Plant, DDS, PA is an oral and maxillofacial surgery dentist in Twin Falls, ID. 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 A Plant, DDS, PA NPI is 1972519551. 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:

2064 WASHINGTON ST N
TWIN FALLS, ID
ZIP 83301-071
Phone: (208) 734-1097
Fax: (208) 735-5160

The NPI 1972519551 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/1/2006 and was last updated on 6/9/2008.

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	D-3129-OS	IDAHO	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	6D626	OTHER	IDAHO	BLUE CROSS OF IDAHODENTAL
2	002577900	MEDICAID	IDAHO
3	534917	OTHER	IDAHO	UNITED CONCORDIA
4	6M048	OTHER	IDAHO	BLUE CROSS OF IDAHO MED
5	BLUE SHIELD	OTHER	IDAHO	45250
6	1204179	MEDICARE ID-TYPE UNSPECIFIED	IDAHO	MEDICARE

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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