Individual provider · Type 1 NPI
Mark Edwin Flack, DDS
Oral and Maxillofacial Surgery (Dentist) · Blue Springs, MO
Practice location
300 NW RR Mize Rd, Suite 100
Blue Springs, MO 64014-2528
Fax (816) 229-1656
Mailing address
5457 NE Wedgewood Ln
Lees Summit, MO 64064-1223
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 12700 (MO) |
Oral and Maxillofacial Surgery (Dentist): 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.
Other oral and maxillofacial surgery (dentist) providers in Blue Springs
About NPI 1144241589
Mark Edwin Flack, DDS's National Provider Identifier is 1144241589, issued on Jul 21, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Blue Springs, MO. The record was last updated on Jul 9, 2007.