Organization
MARK J SCRIBBINS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK J SCRIBBINS D.D.S (DENTIST-OWNER)
(641) 357-3315
Entity
Organization
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
—
LICENSE NUMBER
6809
IA
01
—
PROVIDER ID
0193417
IA
Enumeration date
06/13/2008
Last updated
03/07/2023
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