Individual
MARK J SCRIBBINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
108 S 4TH ST, CLEAR LAKE, IA 50428-1940
(641) 357-3315
(641) 357-3376
Mailing address
108 S 4TH ST, PO BOX 65, CLEAR LAKE, IA 50428-1940
(641) 357-3315
(641) 357-3376
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6809
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0193417
PROVIDER ID
IA
01
—
271054657
TTIN
IA
01
—
6809
LICENSE NUMBER
IA
Enumeration date
10/18/2006
Last updated
03/07/2023
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