Provider Demographics
NPI:1982793923
Name:ESSNER, MARK DAVID (DDS)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:DAVID
Last Name:ESSNER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
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Mailing Address - Street 1:15750 W DODGE RD STE 303
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68118-2535
Mailing Address - Country:US
Mailing Address - Phone:855-965-3636
Mailing Address - Fax:877-366-0329
Practice Address - Street 1:15750 W DODGE RD STE 303
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68118-2535
Practice Address - Country:US
Practice Address - Phone:855-965-3636
Practice Address - Fax:877-366-0329
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2011-08-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NE65171223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics