Individual provider · Type 1 NPI
Mark Scott Ericson, DDS
Oral and Maxillofacial Surgery (Dentist) · Hayward, CA
NPI number
1952374761
Active
Practice location
1320 Apple Ave Ste 104
Hayward, CA 94541-1552
Fax (510) 582-8147
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 22DI02230300 (NJ) |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 23691 (TX) |
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 60084 (CA) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Other oral and maxillofacial surgery (dentist) providers in Hayward
About NPI 1952374761
Mark Scott Ericson, DDS's National Provider Identifier is 1952374761, issued on Feb 10, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Hayward, CA. The record was last updated on Apr 4, 2012.