# MARK E BOSTIC D.D.S.

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

## Provider details

- **NPI number:** 1780897322
- **Authorized official:** DR. MARK E BOSTIC DDS (DENTIST)
- **Authorized official phone:** (919) 693-7635

## Contact information

- **Practice address:** 713 COLLEGE ST, OXFORD, NC 27565-2718
- **Practice address phone:** (919) 693-7635
- **Practice address fax:** (919) 693-8276
- **Mailing address:** 713 COLLEGE ST, OXFORD, NC 27565-2718
- **Mailing address phone:** (919) 693-7635
- **Mailing address fax:** (919) 693-8276

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 6318 | NC | Yes |

## Other

- **Enumeration date:** 05/08/2007
- **Last updated:** 08/22/2020