Individual
MARK I DEGEN
Active
Individual
MARK I DEGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.D.
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
10535
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1598946261
GROUP NPI NUMBER
NV
01
—
200078388
TAX ID
NV
Enumeration date
11/22/2006
Last updated
02/27/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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