Individual provider · Type 1 NPI
Mark J. Lodge, DDS
General Practice Dentistry · Grand Blanc, MI
NPI number
1609906791
Active
Practice location
134 High St
Grand Blanc, MI 48439-1335
Fax (810) 694-1764
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 2901015757 (MI) |
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.
Another provider at this address
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- Dema Mahjoub, DDSGeneral Practice Dentistry Grand Blanc, MI NPI 1336793835
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About NPI 1609906791
Mark J. Lodge, DDS's National Provider Identifier is 1609906791, issued on Mar 7, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Grand Blanc, MI. The record was last updated on Jul 8, 2007.