# MARK W. ICARD, D.D.S.

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

## Provider details

- **NPI number:** 1841494341
- **Authorized official:** DR. MARK WINSLOW ICARD D.D.S. (DENTIST)
- **Authorized official phone:** (704) 455-5003

## Contact information

- **Practice address:** 5500 HIGHWAY 49 S, SUITE 500, HARRISBURG, NC 28075-8414
- **Practice address phone:** (704) 455-5003
- **Practice address fax:** (704) 455-3587
- **Mailing address:** 5500 HIGHWAY 49 S, SUITE 500, HARRISBURG, NC 28075-8414
- **Mailing address phone:** (704) 455-5003
- **Mailing address fax:** (704) 455-3587

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 5668 | NC | Yes |

## Other

- **Enumeration date:** 06/11/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 8994419 | — | NC |