Individual provider · Type 1 NPI

Mark Sundem

General Practice Dentistry · San Antonio, TX

NPI number 1508226317 Active

Practice location

2133 Pepperrell St Bldg 3352
San Antonio, TX 78236-5313

Mailing address

1722 NW 8th Ave
Camas, WA 98607-2614

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X60659999 (WA)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1508226317

Mark Sundem's National Provider Identifier is 1508226317, issued on Mar 7, 2016. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in San Antonio, TX. The record was last updated on Jul 14, 2025.