Provider Demographics
NPI:1770533614
Name:TURCOTTE, MARK K (DDS)
Entity type:Individual
Prefix:DR
First Name:MARK
Middle Name:K
Last Name:TURCOTTE
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 1:3985 S ROCHESTER RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48307-5135
Mailing Address - Country:US
Mailing Address - Phone:248-853-3022
Mailing Address - Fax:248-853-3174
Practice Address - Street 1:3985 S ROCHESTER RD
Practice Address - Street 2:SUITE B
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48307-5135
Practice Address - Country:US
Practice Address - Phone:248-853-3022
Practice Address - Fax:248-853-3174
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI123221223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice