MEDICARE: MARK C SVORE DDS

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	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1306794037
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARK C SVORE DDS

Provider Business Mailing Address
First Line	:	2611 NE 125TH ST STE 110
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98125-4357
Country	:	US
Telephone Number	:	206-363-3240
Fax Number	:	206-361-4869

Provider Business Practice Location Address
First Line	:	2611 NE 125TH ST STE 110
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98125-4357
Country	:	US
Telephone Number	:	206-363-3240
Fax Number	:	206-361-4869

Authorized Official
Title or Position	:	OWNER
Name	:	MARK SVORE
Credential	:	DDS
Telephone Number	:	206-363-3240

Provider Enumeration Date	:	03/18/2026
Last Update Date	:	03/18/2026

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