MARK SUNDEM (NPI# 1508226317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508226317 |
| Entity Type | Individual |
| Full Name | MARK SUNDEM |
| Practice Address |
Psc 3 Unit 2060 Apo AP 96278-2060 |
| Mailing Address |
1722 Nw 8th Ave Camas WA 98607-2614 |
| Practice Telephone | 1023079517 |
| Mailing Telephone | 3604488986 |
| Enumeration Date | 2016-03-07 |
| Last Update Date | 2018-05-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DE 60659999 | WA | Dental Providers |
| Street Address |
PSC 3 UNIT 2060 |
| City | APO |
| State | AP |
| Zip Code | 96278-2060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316310832 | Elissa Nicole Beebe | Physician Assistant | Paf 51 Medical Operations Sq Ffm 130, Osan Ab, KOREA 96278 | 2015-11-05 |
| 1902287972 | Anna Schaar Friend | Family Medicine | 777 Songtan Boulevard, Unit 2060, Apo, AP 96278 | 2015-06-15 |
| 1497012488 | Kevin M Phelan | Surgery | 51 Mdg, Unit 2060, Apo, AP 96278 | 2012-04-16 |
| 1922214782 | 121st Csh/baach | Clinic/Center | Unit 15494, Apo, AP 96278 | 2007-05-15 |
| 1548475619 | 121st Csh/baach | Clinic/Center | Unit 2097, Camp Walker, Apo, AP 96278 | 2007-05-11 |
| 1912028424 | Danny Eric Ervin | Social Worker | 51 Mdg Mdos, Unit 2060, Apo, AP 96278 | 2007-04-02 |
| 1477608321 | Carl Neighbors | Counselor | 51 Mdg Sgohf, Unit 2060, Apo, AP 96278 | 2007-01-23 |
| 1619043775 | Wonil William Chong | Dentist | 51st Medical Group/sghq, Unit 2060, Apo, AP 96278 | 2006-11-28 |
| 1134180185 | 51 Medical Group | Military Hospital | Resource Managment, Unit 2060, Apo, AP 96278 | 2006-03-29 |
| 1053390187 | Robert Lee Chaplin Jr. | Nurse Anesthetist, Certified Registered | 51 Mdos/sgosa, Bldg 777 Unit #2060, Apo, AP 96278 | 2006-01-17 |
| Find all providers in zip 96278 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174134662 | Lucas Pepper | Dentist | Desert Storm Ave, Bldg 5580, Apo, AA 42223 | 2020-08-10 |
| 1831708411 | Troy Nathan Thayer | Dentist | 1065 W Perimeter Rd J, Joint Base Andrews Air Force Base, Apo, AE 20732 | 2020-07-29 |
| 1891311379 | Jonathan Frederick Weaver | Dentist | Headquarters United States Army Dental Health Activity, 4323 Hill Street, Apo, AA 29207-6022 | 2020-06-22 |
| 1457975583 | Connor English | Dentist | Carius Dental Clinic Bldg#p3020, Apo, AP 96205-5244 | 2020-06-04 |
| 1275162877 | Gabi Im | Dentist | 1065 W Perimeter Rd., Joint Base Andrews, Apo, AA 20762 | 2020-04-06 |
| 1730735770 | Kai Steven Hatch | Dentist | 72nd and Support Building 33026, 1st Medical Brigade, Apo, AA 76544 | 2019-08-15 |
| 1265093017 | Corby M Dixon | Dentist | Landstul Dental Health Activity, Bldg 3703, Rm 205, Apo, AE 09180 | 2019-06-24 |
| 1851950026 | Erin Leigh Baldridge | Dentist | Joint Base Langley Eustis Dental Clinic, 76 Nealy Ave, Apo, AA 23665 | 2019-06-11 |
| 1972082451 | Mark Rutledge Mcshane | Dentist | 618th Dental Company (as), Usa Dentac-korea Unit #15660 Bldg # P 3020, Apo, AP 96271-5660 | 2018-08-07 |
| 1780163220 | Gina Wooyoung Paik | Dentist | Hq, 618th Dcas/dentac, Korea, Unit 15652, Apo, AP 96271 | 2018-08-07 |
| Find all providers in APO | ||||
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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.