# DR. MARK A. SPIKER, DDS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326253154
- **Authorized official:** DR. MARK A SPIKER D.D.S., PLLC (DENTIST)
- **Authorized official phone:** (304) 659-2585

## Contact information

- **Practice address:** 304 MASONIC AVE, PENNSBORO, WV 26415-1324
- **Practice address phone:** (304) 659-2585
- **Mailing address:** RR 2 BOX 41, PENNSBORO, WV 26415-9413

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 2413 | WV | Yes |

## Other

- **Enumeration date:** 05/14/2007
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0136425000 | — | WV |