Individual
MARK PIPER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.D., P.A.
Contact information
Practice address
111 2ND AVE NE, STE 1006, ST PETERSBURG, FL 33701-3434
(727) 823-3220
(727) 823-7284
Mailing address
111 2ND AVE NE, STE 1006, ST PETERSBURG, FL 33701-3434
(727) 823-3220
(727) 823-7284
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
10596
FL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
17067
MA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
MD13453
FL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
ME0041059
TN
Other
Enumeration date
05/23/2006
Last updated
07/08/2007
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