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NPI Code Detail

MEDICARE: DR. MARK ANDREW STRANDBURG DMD

MEDICARE: DR. MARK ANDREW STRANDBURG DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice DentistryDN014089GA

General Provider Information

NPI Number : 1841519840
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARK ANDREW STRANDBURG DMD
Provider Business Mailing Address
First Line : 1273 S HOUSTON LAKE RD
Second Line :
City : WARNER ROBINS
State : GA
Zip : 31088-2708
Country : US
Telephone Number : 478-287-2179
Fax Number : 478-287-6162
Provider Business Practice Location Address
First Line : 1273 S HOUSTON LAKE RD
Second Line :
City : WARNER ROBINS
State : GA
Zip : 31088-2708
Country : US
Telephone Number : 478-287-2179
Fax Number : 478-287-6162
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2010
Last Update Date : 07/14/2015

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