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NPI Code Detail

MEDICARE: MARK BREINHOLT DDS PLLC

MEDICARE: MARK BREINHOLT DDS PLLC
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
1261QD0000XDental Clinic/Center

General Provider Information

NPI Number : 1457203945
Entity Type Code : Organization
Provider Name (Legal Business Name) : MARK BREINHOLT DDS PLLC
Provider Business Mailing Address
First Line : 3400 SQUALICUM PKWY STE 103
Second Line :
City : BELLINGHAM
State : WA
Zip : 98225-1933
Country : US
Telephone Number : 360-734-6728
Fax Number :
Provider Business Practice Location Address
First Line : 3400 SQUALICUM PKWY STE 103
Second Line :
City : BELLINGHAM
State : WA
Zip : 98225-1933
Country : US
Telephone Number : 360-734-6728
Fax Number :
Authorized Official
Title or Position : DENTIST
Name : DR. MARK ROBERT BREINHOLT
Credential : DDS
Telephone Number : 360-734-6728
Provider Enumeration Date : 02/10/2026
Last Update Date : 02/10/2026

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Directions to “MARK BREINHOLT DDS PLLC ” Practice Location

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