Individual provider · Type 1 NPI

Mark Richard Church, DMD, MS

Orthodontics and Dentofacial Orthopedics Dentistry · Fort Hood, TX

NPI number 1679733703 Active

Practice location

4431 68th Street, U S Army Dental Activity
Fort Hood, TX 76544

Call (253) 495-1193 Map

Mailing address

1011 Surrey Trce SE
Tumwater, WA 98501-8624

Other practice locations

  • 2103 N. Division St, Joint Base Lewis Mcchord, WA 98433 · (253) 966-7803

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X8618 (KY)
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X60884792 (WA)

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 1679733703

Mark Richard Church, DMD, MS's National Provider Identifier is 1679733703, issued on Jun 12, 2008. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Fort Hood, TX. The record was last updated on Dec 4, 2019.