Provider Demographics
NPI:1407100159
Name:MARK R. TURNER, DDS
Entity Type:Organization
Organization Name:MARK R. TURNER, DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:RONALD
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:508-822-9387
Mailing Address - Street 1:129 HIGH ST.
Mailing Address - Street 2:
Mailing Address - City:TAUNTON
Mailing Address - State:MA
Mailing Address - Zip Code:02780-3529
Mailing Address - Country:US
Mailing Address - Phone:508-822-9387
Mailing Address - Fax:508-880-4999
Practice Address - Street 1:129 HIGH ST
Practice Address - Street 2:
Practice Address - City:TAUNTON
Practice Address - State:MA
Practice Address - Zip Code:02780-3529
Practice Address - Country:US
Practice Address - Phone:508-822-9387
Practice Address - Fax:508-880-4999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-02
Last Update Date:2012-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty