MEDICARE: DR. MARK DUNCAN 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	122300000X	Dentist	NV 6432	NV

General Provider Information

NPI Number	:	1992195671
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARK DUNCAN DDS

Provider Business Mailing Address
First Line	:	1401 HILLSHIRE DR
Second Line	:	SUITE 200
City	:	LAS VEGAS
State	:	NV
Zip	:	89134-6365
Country	:	US
Telephone Number	:	888-584-3237
Fax Number	:	702-341-8510

Provider Business Practice Location Address
First Line	:	1401 HILLSHIRE DR
Second Line	:	SUITE 200
City	:	LAS VEGAS
State	:	NV
Zip	:	89134-6365
Country	:	US
Telephone Number	:	888-584-3237
Fax Number	:	702-341-8510

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

Provider Enumeration Date	:	02/02/2015
Last Update Date	:	02/02/2015

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Directions to “ DR. MARK DUNCAN DDS” Practice Location

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