NPI Index

DR. MARK CHURCH, DMD, MS

Dentist - Orthodontics and Dentofacial Orthopedics

Active Individual
NPI: 1679733703

Practice Address

4431 68TH STREET
U S ARMY DENTAL ACTIVITY
Fort Hood, TX 76544

Phone: (253) 495-1193

Specialties

Specialty Code Primary License
Dentist 122300000X No 8618 (KY)
Dentist - Orthodontics and Dentofacial Orthopedics 1223X0400X Yes 60884792 (WA)

Frequently Asked Questions

NPI 1679733703 is the National Provider Identifier for DR. MARK CHURCH, DMD, MS, a Dentist - Orthodontics and Dentofacial Orthopedics provider located in Fort Hood, TX. This NPI was enumerated on June 12, 2008.
DR. MARK CHURCH, DMD, MS practices at 4431 68TH STREET, U S ARMY DENTAL ACTIVITY, Fort Hood, TX 76544.

Quick Facts

NPI
1679733703
Type
Individual
Enumerated
Jun 12, 2008
Last Updated
Dec 4, 2019

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