MARK S. GRESKOVICH (NPI# 1316970197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316970197 |
| Entity Type | Individual |
| Full Name | MARK S. GRESKOVICH |
| Credential | D.M.D, PA |
| Practice Address |
4850 N 9th Ave Ste 4 Pensacola FL 32503-2406 |
| Practice Telephone | 8504771125 |
| Practice Fax Number | 8504795809 |
| Mailing Telephone | 8504771125 |
| Mailing Fax Number | 8504795809 |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2007-12-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
4229 | AL | Dental Providers |
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
DN0011988 | FL | Dental Providers |
| Street Address |
4850 N 9TH AVE STE 4 |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32503-2406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689914921 | Rachael Tyler Smoot Mcgehee | Dentist | 4850 N 9th Ave Ste 4, Pensacola, FL 32503-2406 | 2013-02-24 |
| 1528345840 | Kevin C. Dean, Dmd Pa | Dentist | 4850 N 9th Ave Ste 4, Pensacola, FL 32503-2406 | 2011-11-15 |
| 1518281351 | Mark S. Greskovich Dmd Pa | Dentist | 4850 N 9th Ave Ste 4, Pensacola, FL 32503-2406 | 2010-03-23 |
| 1306160148 | David T. Turbyfill Dmd Pa | Dentist | 4850 N 9th Ave Ste 4, Pensacola, FL 32503-2406 | 2010-03-23 |
| 1467661819 | Frank J. Greskovich & James H. Balcom Dss Pa | Dentist | 4850 N 9th Ave Ste 4, Pensacola, FL 32503-2406 | 2007-05-22 |
| 1710907845 | David T. Turbyfill | Dentist | 4850 N 9th Ave Ste 4, Pensacola, FL 32503-2406 | 2006-07-20 |
| 1922023563 | Kevin C. Dean | Dentist | 4850 N 9th Ave Ste 4, Pensacola, FL 32503-2406 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134727472 | Lauren Barrett Evans | Nurse Practitioner | 4700 Bayou Boulevard, Suite 6, Pensacola, FL 32503 | 2020-10-09 |
| 1528666864 | Kelsey Christine Kvartek | Nurse Practitioner | 4700 Bayou Blvd., Suite 6, Pensacola, FL 32503 | 2020-10-09 |
| 1730790551 | Sacred Heart Hospital of Pensacola | Podiatrist | 1890 Summit Blvd, Pensacola, FL 32503 | 2020-08-14 |
| 1891312815 | Sacred Heart Asc, LLC | Clinic/Center | 1890 Summit Boulevard, Suite 210, Pensacola, FL 32503 | 2020-06-26 |
| 1275011744 | Teresa T Jansen | Registered Nurse | 5051 Carpenters Creek Dr, Pensacola, FL 32503 | 2018-08-06 |
| 1639662729 | Florida Physical Therapy Services of Pensacola, LLC | Occupational Therapist | 428 Airport Blvd, Pensacola, FL 32503 | 2018-06-13 |
| 1922595123 | Touch of Love Home Health Care LLC | Home Health | 139 E Burgess Rd Ste B, Pensacola, FL 32503 | 2018-04-13 |
| 1770012106 | Amber Mcclellan | Occupational Therapist | 4551 North Davis Highway, Suite C, Pensacola, FL 32503 | 2017-06-08 |
| 1780123885 | Corinne Georgette-marie Carlson | Registered Nurse | 6809 White Oak Drive, Pensacola, FL 32503 | 2017-02-22 |
| 1538615232 | Kristin E Patton | Dietitian, Registered | 4501 North Davis Hwy, Suite C, Pensacola, FL 32503 | 2016-09-01 |
| Find all providers in zip 32503 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265754824 | Rawson & Braxton Oral and Maxillofacial Surgery Associates of West Fl | Dentist | 1100 Airport Blvd Ste B, Pensacola, FL 32504-8622 | 2010-02-24 |
| 1417020140 | Anthony Emile Chicola | Dentist | 5075 Carpenter Creek Dr, Pensacola, FL 32503-2521 | 2006-11-17 |
| 1629049507 | Brett Thomas Laggan | Dentist | 4850 N 9th Ave Ste 1, Pensacola, FL 32503-2406 | 2006-01-30 |
| 1689914921 | Rachael Tyler Smoot Mcgehee | Dentist | 4850 N 9th Ave Ste 4, Pensacola, FL 32503-2406 | 2013-02-24 |
| 1528345840 | Kevin C. Dean, Dmd Pa | Dentist | 4850 N 9th Ave Ste 4, Pensacola, FL 32503-2406 | 2011-11-15 |
| 1598069239 | Northwest Florida Oral and Maxillofacial Surgery, P.a. | Dentist | 4850 N 9th Ave Ste 1, Pensacola, FL 32503-2407 | 2011-01-10 |
| 1699081919 | Northwest Florida Oral and Maxillofacial Surgery, Pa | Dentist | 4850 N 9th Ave Ste 1, Suite 1, Pensacola, FL 32503-2406 | 2010-08-24 |
| 1518281351 | Mark S. Greskovich Dmd Pa | Dentist | 4850 N 9th Ave Ste 4, Pensacola, FL 32503-2406 | 2010-03-23 |
| 1306160148 | David T. Turbyfill Dmd Pa | Dentist | 4850 N 9th Ave Ste 4, Pensacola, FL 32503-2406 | 2010-03-23 |
| 1306001920 | Aaron C Wallender | Dentist | 4850 N 9th Ave, # 4, Pensacola, FL 32503-2407 | 2008-07-23 |
| Find all providers in PENSACOLA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.