Organization
WHITE PINE DENTAL GROUP PLLC
Active
Other names
Markham Family Dental Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILLIP L MARKHAM DDS (OWNER/DENTIST)
(712) 755-5342
Entity
Organization
Contact information
Practice address
2105 PINE ST, HARLAN, IA 51537
(712) 755-5342
(712) 755-5666
Mailing address
2105 PINE ST, HARLAN, IA 51537
(712) 755-5342
(712) 755-5666
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7374
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356457535
—
IA
05
—
1487883948
—
IA
05
—
1639364383
—
IA
Enumeration date
09/04/2009
Last updated
07/21/2022
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