Provider Demographics
NPI:1568638773
Name:NIEPRASCHK, MARKUS L (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:MARKUS
Middle Name:L
Last Name:NIEPRASCHK
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Gender:M
Credentials:DDS, MS
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Mailing Address - Street 1:540 FORT EVANS RD
Mailing Address - Street 2:102
Mailing Address - City:LEESBURG
Mailing Address - State:VA
Mailing Address - Zip Code:20176-4098
Mailing Address - Country:US
Mailing Address - Phone:703-777-8277
Mailing Address - Fax:703-777-8872
Practice Address - Street 1:540 FORT EVANS RD
Practice Address - Street 2:102
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20176-4098
Practice Address - Country:US
Practice Address - Phone:703-777-8277
Practice Address - Fax:703-777-8872
Is Sole Proprietor?:No
Enumeration Date:2008-05-07
Last Update Date:2010-11-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WI5944-0151223X0400X
VA04014117631223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics