DR. MARK DOUGLAS OLIVER (NPI# 1629140207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629140207 |
| Entity Type | Individual |
| Full Name | DR. MARK DOUGLAS OLIVER |
| Credential | D.D.S. |
| Practice Address |
409 W Broome St Lagrange GA 30240-3107 |
| Practice Telephone | 7068848523 |
| Practice Fax Number | 7068844679 |
| Mailing Telephone | 7068848523 |
| Mailing Fax Number | 7068844679 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2009-07-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DN010969 | GA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497395958 | Mark Lee Oliver | Marriage & Family Therapist | 1199 Sanchez St, San Francisco, CA 94114-3836 | 2020-01-13 |
| 1033649793 | Mark Oliver | Chiropractor | 1950 Sawtelle Blvd Ste 240, Los Angeles, CA 90025-7073 | 2017-06-15 |
| 1235559790 | Mark Oliver | Orthopaedic Surgery | 102 Gregor Mendel Cir, Greenwood, SC 29646-2315 | 2014-04-23 |
| 1710185301 | Mark Allan Oliver | Physical Therapist | 111b Sanders Ln, Bluefield, VA 24605-9278 | 2007-07-05 |
| 1265520027 | Mark D Oliver | Neurological Surgery | 1901 Se 18th Ave, Suite 101, Ocala, FL 34471-8215 | 2006-10-10 |
| 1972609725 | Mark A Oliver | Internal Medicine | 182 South St, Suite 2, Morristown, NJ 07960-5377 | 2006-09-16 |
| 1609986330 | Mark Douglas Oliver | Dentist | 1601 Kirkwood Hwy, Wilmington, DE 19805-4917 | 2006-08-30 |
| 1275649758 | Mark Custodio Oliver | Pediatrics | 2416 Capstone Ct, Columbus, GA 31909-2795 | 2006-08-21 |
| 1225005499 | Mark Allan Oliver | Social Worker | 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 | 2006-03-07 |
| Street Address |
409 W BROOME ST |
| City | LAGRANGE |
| State | GA |
| Zip Code | 30240-3107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598223844 | Urgencare, LLC | Clinic/Center | 2169 West Point Road, Suite 105, Lagrange, GA 30240 | 2019-03-06 |
| 1679075527 | Georgia Pain and Spine Care, Inc | Pain Medicine | 303 Smith St Fl 2, Lagrange, GA 30240 | 2018-03-07 |
| 1629463500 | Quoc Vinh Ngo | Emergency Medicine | Wellstar West Georgia Medical Center, 1504 Vernon Road, Lagrange, GA 30240 | 2015-03-30 |
| 1770913964 | Dell H Lawson | Counselor | 300 Medical Dr. Ste 705., Lagrange, GA 30240 | 2013-11-25 |
| 1629418793 | Mortar & Pestle, LLC | Pharmacy | 205 Vernon Street, Lagrange, GA 30240 | 2013-07-03 |
| 1336582329 | Weredeselam Menna Olango | Psychiatry & Neurology | 303 Medical Dr Ste 401, Lagrange, GA 30240 | 2013-04-10 |
| 1720333743 | Mortar and Pestle, LLC | Pharmacy | 300 Mooty Bridge Road, Lagrange, GA 30240 | 2012-07-16 |
| 1366768459 | Karin Taylor | Physical Medicine & Rehabilitation | 1600 Vernon Rd Ste A, Lagrange, GA 30240 | 2010-04-14 |
| 1871819458 | Kathryn J Hill | Counselor | 100 Smith St Ste 1, Lagrange, GA 30240 | 2010-04-08 |
| 1285802751 | Air Evac Ems, Inc. | Ambulance | 455 Aerotron Pkwy, Lagrange, GA 30240 | 2008-02-18 |
| Find all providers in zip 30240 | ||||
| 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 |
|---|---|---|---|---|
| 1669805503 | Kids Zone Dentistry & Lagrange Family Dental | Dentist | 307 Church St Ste A, Lagrange, GA 30240-2700 | 2013-08-14 |
| 1376819102 | Affordable Dentures Lagrange, P.c | Dentist | 1300 Lafayette Pkwy, Lagrange, GA 30241-2610 | 2012-03-27 |
| 1972884955 | Kevin E Collins | Dentist | 475 W. 55th St., Suite 204, Lagrange, IL 60525-3566 | 2011-09-02 |
| 1578756565 | Richard Freeman Simmons | Dentist | 2219 B West Point Rd, Dr Richard F Simmons, Lagrange, GA 30241 | 2007-08-22 |
| 1053444547 | Angela Bulloch-patterson | Dentist | 202 Calumet Center Rd, Lagrange, GA 30241-6712 | 2007-03-13 |
| 1689732026 | Douglas Brent Kersey Jr. | Dentist | 110 Kia Dr, Lagrange, GA 30241-3731 | 2006-12-05 |
| 1912073768 | Kevin E Collins Dds PC | Dentist | 475 W 55th Street, Suite 204, Lagrange, IL 60525-3566 | 2006-11-24 |
| 1437263878 | Karen Armstrong Kennedy | Dentist | 204 Smith St., Lagrange, GA 30240 | 2006-08-19 |
| 1467493130 | Stephen Jewell Hansard | Dentist | 606 S Greenwood St, Lagrange, GA 30240-3128 | 2006-06-10 |
| 1205817145 | Alfred Raymond Gernert | Dentist | 604 Crystal Place, Site 2a, Lagrange, KY 40031 | 2005-11-08 |
| Find all providers in LAGRANGE | ||||
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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.