Provider Demographics
NPI:1497876445
Name:MARKLE, GEORGE K (DDS)
Entity Type:Individual
Prefix:
First Name:GEORGE
Middle Name:K
Last Name:MARKLE
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 1:450 SUTTER ST RM 1919
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94108-4103
Mailing Address - Country:US
Mailing Address - Phone:415-781-4725
Mailing Address - Fax:415-986-7391
Practice Address - Street 1:450 SUTTER ST RM 1919
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94108-4103
Practice Address - Country:US
Practice Address - Phone:415-781-4725
Practice Address - Fax:415-986-7391
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2017-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA276501223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice