MEDICARE: D.L. MARKHAM, DDS, MSD, INC

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	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry

General Provider Information

NPI Number	:	1730218777
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	D.L. MARKHAM, DDS, MSD, INC

Provider Business Mailing Address
First Line	:	1101 MAIDU DR STE 100
Second Line	:
City	:	AUBURN
State	:	CA
Zip	:	95603-5865
Country	:	US
Telephone Number	:	530-823-8771
Fax Number	:

Provider Business Practice Location Address
First Line	:	4110 TRUXEL RD STE 130
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95834-3759
Country	:	US
Telephone Number	:	916-924-8970
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	LUMINITA MARKHAM
Credential	:
Telephone Number	:	530-823-8771

Provider Enumeration Date	:	03/05/2007
Last Update Date	:	07/12/2024

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