MARK R STEVENS


Address: 1120 15th St, Augusta, GA 30912-0004
Phone: 7067213241

MARK R STEVENS (NPI# 1407878606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407878606
Entity Type Individual
Full Name MARK R STEVENS
Credential DDS
Practice Address 1120 15th St
Augusta
GA 30912-0004
Mailing Address 1499 Walton Way Ste 1400
Augusta
GA 30901-2603
Practice Telephone 7067213241
Practice Fax Number 7067216276
Mailing Telephone 7068286410
Enumeration Date 2006-07-24
Last Update Date 2014-06-16
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 204E00000X Oral & Maxillofacial Surgery DN013387 GA Allopathic & Osteopathic Physicians

Other Providers MARK STEVENS

NPI Name Taxonomy Address Enumeration
1023654811 Mark Michael Stevens Jr. Registered Nurse 524 N 65th St, Milwaukee, WI 53213-4054 2019-11-27
1003302688 Mark Andrew Stevens Physical Therapist 1227 Rockbridge Rd Ste 402, Stone Mountain, GA 30087 2018-07-06
1336672252 Mark Stevens Counselor 2501 Charlestown Ave, Toledo, OH 43613-4327 2017-04-07
1649589607 Mark Daniel Stevens Counselor 11 S Morgan Rd, Tuttle, OK 73089-8603 2010-09-24
1013145531 Mark Joseph Stevens Family Medicine 7123 Prospect Pl Ne, Albuquerque, NM 87110-4313 2009-06-23
1437329679 Mark Stevens Massage Therapist 1288 Sw 21st St, Boca Raton, FL 33486-6645 2008-03-04
1861527160 Mark Curtis Stevens Dentist 460 2nd Ave, Suite 8b, New York, NY 10016 2007-02-23
1760499669 Mark T Stevens Family Medicine 10706 Wynkoop Dr, Great Falls, VA 22066-1606 2006-08-02
1770504953 Mark H Stevens Surgery 324 10th Ave Ste 112, Salt Lake City, UT 84103-2873 2006-07-22
1043287972 Mark Stevens Chiropractor 327 Douglas Ave, Yankton, SD 57078-4339 2006-02-28

Office Location

Street Address 1120 15TH ST
City AUGUSTA
State GA
Zip Code 30912-0004

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427051556 Gyanendra Kumar Sharma Internal Medicine 1120 15th St, Augusta, GA 30912-0004 2005-05-23
1912508532 Lacey Nichol Preston Physician Assistant 1120 15th St, Augusta, GA 30912-0004 2020-11-02
1992302988 Victoria Mae Pregibon Physician Assistant 1120 15th St, Augusta, GA 30912-0004 2020-10-03
1275130239 Tanya Renee Hall Nurse Practitioner 1120 15th St, Augusta, GA 30912-0004 2020-10-02
1144847864 Cassandra Marie Voong Internal Medicine 1120 15th St, Augusta, GA 30912-0004 2020-06-29
1245857002 Morgan Rowe Nurse Practitioner 1120 15th St, Augusta, GA 30912-0004 2020-06-28
1639795990 Lauren Christine Bush Audiologist 1120 15th St, Augusta, GA 30912-0004 2020-06-23
1811513575 Ashley Danielle Fox Internal Medicine 1120 15th St, Augusta, GA 30912-0006 2020-06-18
1265058994 Matthew Craddock Psychiatry & Neurology 1120 15th St, Augusta, GA 30912-0004 2020-06-18
1437775301 Joseph John Arellano Emergency Medicine 1120 15th St, Augusta, GA 30912-0004 2020-06-17
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548885940 Hannah Gullickson Folsom Family Medicine 1459 Laney Walker Blvd Ae 3042, Augusta, GA 30912 2020-06-11
1487278909 Robert Kennedy Internal Medicine Augusta University Internal Medicine Residency Program, 1120 15th Street, Bi 5070, Augusta, GA 30912 2020-06-01
1952968737 Kayla M. Lasota Pediatrics 11230 115th St Ae3042, Augusta, GA 30912 2019-05-28
1003379280 Kayla Cox Internal Medicine 1120 15th St Bi5070, Augusta, GA 30912 2019-04-13
1619435740 Justin Ray Mackert Student in an Organized Health Care Education/Training Program Augusta University, 1120 15th Street, Gc 5110, Augusta, GA 30912 2019-03-07
1417444167 Victor Celis Dentist John Wesley Gilbert Dr, Augusta, GA 30912 2018-04-18
1487157921 Julie Ann Matsen Student in an Organized Health Care Education/Training Program 997 St. Sebastian Way, Eg-2021-10, Augusta Univ., Dept. of Psychiatry & Health Behavior, Augusta, GA 30912 2018-03-12
1497287031 Luke Yuung-jier Chang Ophthalmology 1120 15th St # Ba2720, Augusta, GA 30912 2017-04-02
1821537622 Lashawn Kay Boone Nurse Practitioner 1445 Harper St, Augusta, GA 30912 2017-02-14
1134675564 Arnab Saha Internal Medicine 1120 15 Th St., Augusta, GA 30912 2016-08-26
Find all providers in zip 30912

Taxonomy Information

Taxonomy Code 204E00000X
Grouping Allopathic & Osteopathic Physicians
Classification Oral & Maxillofacial Surgery

Taxonomy Definition

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184667370 Scott S Derossi Oral & Maxillofacial Surgery 1430 John Wesley Gilbert Drive, Gc-1024, Ghsu College of Dental Medicine, Augusta, GA 30912-1001 2006-06-14
1942258397 Henry W Ferguson Oral & Maxillofacial Surgery 1430 John Wesely Gilbert Drive, Gc-1024, Augusta, GA 30912-1001 2006-05-05
1538571435 Oral Surgery of West Augusta PC Oral & Maxillofacial Surgery 3634 Wheeler Rd, Augusta, GA 30909-6518 2014-05-27
1225202484 Jeffrey Nelson James Oral & Maxillofacial Surgery 1120 15th St, Augusta, GA 30912-5536 2008-04-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1124453337 Ladi Doonquah Oral & Maxillofacial Surgery 3660 Flat Shoals Rd Ste 100, Decatur, GA 30034-1649 2013-09-06
1699040121 Shenan Marie Bradshaw Oral & Maxillofacial Surgery 5505 Peachtree Dunwoody Rd Ste 660, Sandy Springs, GA 30342 2012-03-16
1720107105 Christian Loetscher Oral & Maxillofacial Surgery 4205 N Point Pkwy Ste F, Alpharetta, GA 30022-8808 2007-03-28
1659460772 William Jones Phillips Oral & Maxillofacial Surgery 698 Medical Park Lane, Gainesville, GA 30501 2006-10-12
1841306909 Lawrence Matthew Marra Oral & Maxillofacial Surgery 3965 Holcomb Bridge Road, Suite 102, Norcross, GA 30092 2006-08-22
1861505141 Durwood M Johnson Jr. Oral & Maxillofacial Surgery 1260 Hwy 54 W, Suite 200, Fayetteville, GA 30214 2006-08-17
1295791549 Glenn Maron Oral & Maxillofacial Surgery 999 Peachtree St Ne, Ste 715, Atlanta, GA 30309 2006-04-25
1952363442 Advanced Oral and Maxillofacial Surgery PC Oral & Maxillofacial Surgery 3535 Roswell Rd, Suite 27, Marietta, GA 30062-8826 2006-04-03
1114425964 Gofs Stockbridge Oral & Maxillofacial Surgery 225 Country Club Dr, #110, Stockbridge, GA 30281 2018-01-26
1811403207 Premier Anesthesia of Georgia LLC Oral & Maxillofacial Surgery 11 Upper Riverdale Rd, Riverdale, GA 30274 2017-12-20
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Competitor

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City AUGUSTA
Zip Code 30912

Improve Information

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Dataset Information

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.

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