Individual provider · Type 1 NPI

Mark Lance Ethridge, DDS

Dentist · Richardson, TX

NPI number 1164513685 Active

Practice location

1101 N Jupiter Rd, Suite 109
Richardson, TX 75081-3171

Fax (972) 669-4108

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X18958 (TX)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1164513685

Mark Lance Ethridge, DDS's National Provider Identifier is 1164513685, issued on Sep 28, 2006. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Richardson, TX. The record was last updated on Jul 8, 2007.