Provider Demographics
NPI:1407854722
Name:MICHAEL A. MARKSON, D.M.D., P.C
Entity Type:Organization
Organization Name:MICHAEL A. MARKSON, D.M.D., P.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:MARKSON
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:480-991-1144
Mailing Address - Street 1:10802 N 71ST PL
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254-5204
Mailing Address - Country:US
Mailing Address - Phone:480-991-1144
Mailing Address - Fax:480-998-1565
Practice Address - Street 1:10802 N 71ST PL
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254-5204
Practice Address - Country:US
Practice Address - Phone:480-991-1144
Practice Address - Fax:480-998-1565
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ22901223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty