# MARKO FAMILY DENTISTRY

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

## Provider details

- **NPI number:** 1902140650
- **Authorized official:** JOSEPH E MARKO JR. DMD (OWNER)
- **Authorized official phone:** (724) 463-9115

## Contact information

- **Practice address:** 115 N 6TH ST, INDIANA, PA 15701-1815
- **Practice address phone:** (724) 463-9115
- **Mailing address:** 450 N 9TH ST, INDIANA, PA 15701-1273
- **Mailing address phone:** (724) 463-9115

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DS026278L | PA | Yes |

## Other

- **Enumeration date:** 11/19/2012
- **Last updated:** 11/19/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0011692650006 | — | PA |