Dr. Mark David Edington, D.D.S.
Dentist, General Practice in Las Vegas, NV. Individual provider (NPI-1).
NPI number1124186515
StatusActive
Last updated in NPPESFeb 22, 2023
Details
- NPI
- 1124186515
- Entity type
- Individual (NPI-1)
- Name
- Dr. Mark David Edington
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 5, 2006
- Certification date
- Feb 22, 2023
- Last updated
- Feb 22, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 4362 | NV | Yes |
Practice location
9895 S Maryland Pkwy Ste ALas Vegas, NV 89183-7165
Phone 702-372-4039 · Fax 702-270-0598
Mailing address
9895 S Maryland Pkwy Ste ALas Vegas, NV 89183-7165
Phone 702-372-4039
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