MEDICARE: DR. MARK HANY ISKANDER 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
1	122300000X	Dentist	DS044590	PA

General Provider Information

NPI Number	:	1285473207
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARK HANY ISKANDER DMD

Provider Business Mailing Address
First Line	:	311 HOLLY HALL
Second Line	:
City	:	MIDDLETOWN
State	:	PA
Zip	:	17057-2408
Country	:	US
Telephone Number	:	917-374-3713
Fax Number	:

Provider Business Practice Location Address
First Line	:	405 MAIN ST
Second Line	:
City	:	LANDISVILLE
State	:	PA
Zip	:	17538-1812
Country	:	US
Telephone Number	:	717-898-7221
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/20/2024
Last Update Date	:	05/21/2024

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