Provider Demographics
NPI:1376676205
Name:FINNEY, MARK O (DDS, PA)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:O
Last Name:FINNEY
Suffix:
Gender:M
Credentials:DDS, PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2459 15TH ST NW
Mailing Address - Street 2:SUITE C
Mailing Address - City:NEW BRIGHTON
Mailing Address - State:MN
Mailing Address - Zip Code:55112-5594
Mailing Address - Country:US
Mailing Address - Phone:651-631-3100
Mailing Address - Fax:651-631-1728
Practice Address - Street 1:2459 15TH ST NW
Practice Address - Street 2:SUITE C
Practice Address - City:NEW BRIGHTON
Practice Address - State:MN
Practice Address - Zip Code:55112-5594
Practice Address - Country:US
Practice Address - Phone:651-631-3100
Practice Address - Fax:651-631-1728
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN94561223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice