Individual provider · Type 1 NPI

Mark Alan Sundberg, DDS, ABGD, MAGD

Orthodontics and Dentofacial Orthopedics Dentistry · Tacoma, WA

NPI number 1366412058 Active

Practice location

Bldg 9900, 2nd Floor, U.s. Army Dental Activity - Ft Lewis
Tacoma, WA 98431-0001

Call (253) 968-4039 Map

Fax (253) 968-5919

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X06999 (IA)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1366412058

Mark Alan Sundberg, DDS, ABGD, MAGD's National Provider Identifier is 1366412058, issued on Jan 25, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Tacoma, WA. The record was last updated on Mar 30, 2011.