Provider Demographics
NPI:1205845831
Name:MARKS, DAVID N (DDS)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:N
Last Name:MARKS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4901 ESSEX DR
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46033-9600
Mailing Address - Country:US
Mailing Address - Phone:317-848-2823
Mailing Address - Fax:317-844-0527
Practice Address - Street 1:3003 E 98TH ST STE 121
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46280-1973
Practice Address - Country:US
Practice Address - Phone:317-844-0067
Practice Address - Fax:317-844-0527
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN7266122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist