DR. MARK BENNER SHULL


Address: 120 S Main Street, Ada, OH 45810
Phone: 4196345901

DR. MARK BENNER SHULL (NPI# 1538246038) 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) 1538246038
Entity Type Individual
Full Name DR. MARK BENNER SHULL
Credential DDS
Practice Address 120 S Main Street
Ada
OH 45810
Practice Telephone 4196345901
Mailing Telephone 4196345901
Enumeration Date 2006-11-01
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist 11284 OH Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
OH 8060888 05
OH OHIO STATE DENTAL BOARD 11284 01

Office Location

Street Address 120 S MAIN STREET
City ADA
State OH
Zip Code 45810

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437668183 Ohio Northern University Pharmacy 511 W Lincoln Ave, Ada, OH 45810 2017-09-26
1104210723 Brady Pickford Registered Nurse 0257 S.r. 235, Ada, OH 45810 2015-03-20
1356546808 Ada-liberty Jt Ambulance Dis Ambulance 530 North Gilbert Street, Ada, OH 45810 2007-06-15
1215158845 Justin Eugene Lehman Specialist/Technologist 525 S. Main Street, King-horn Sportscenter, Ada, OH 45810 2007-05-01
1447371935 Michael David Elliott Pharmacist 610 S. Main St., Ada, OH 45810 2007-04-02
1821159575 Teresa E Rush Nurse Practitioner 604 W North Ave, Ada, OH 45810 2006-12-13
1346346913 Billy T Morgan IIi Dentist 4350 Sr 235, Ada, OH 45810 2006-09-15
1174514145 Donald Lawrence Sullivan Pharmacist Ohio Northern University, College of Pharmacy, Ada, OH 45810 2005-10-31
1407921117 Ada Family Dentistry Dentist 4350 Sr 235, Ada, OH 45810 2006-11-21
1710528898 Morgan Nicole Nolletti Physician Assistant 505 N Gilbert St, Ada, OH 45810-1011 2019-09-30
Find all providers in zip 45810

Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457968133 Norman Family Dentistry PC Dentist 519 Ada Dr Se Ste A, Ada, MI 49301-9069 2020-09-28
1053748806 Gary Arlen Cutler Dentist 1718 Wingedfoot Dr, Ada, OK 74820-4333 2013-10-10
1558625335 Tyler Chance Devaughan Dentist 500 N Monte Vista St Ste 1b, Ada, OK 74820-4670 2012-06-27
1437327442 Amru Albeiruti Dds Plc Dentist 6739 Fulton St E Ste D-20, Ada, MI 49301-8138 2008-02-12
1134223597 Benjamin Franklin Edwards Jr. Dentist 1801 East Arlington, Ada, OK 74820 2006-09-07
1427010172 Bryan Dean Bratton Dentist 116 E 14th St, Ada, OK 74820-6518 2006-04-06
1063941177 Vashti Osborn Dentist 1430 Lonnie Abbott Blvd, Ada, OK 74820-1851 2017-06-12
1396273314 Mohammed R. Kayyali Dentist 1921 Stonecipher Blvd, Ada, OK 74820 2017-06-03
1750762555 Alex Provo Dentist 200 E Main St, Ada, MN 56510-1354 2015-06-17
1235518267 Kurt E Schabes, Dds, Plc Dentist 7210 Headley Se, Ada, MI 49301 2015-05-22
Find all providers in ADA

Competitor

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City ADA
Zip Code 45810

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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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