Individual
DR. MARK STEVEN FARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1103 E COURT ST, MARION, NC 28752-3528
(828) 659-7323
(828) 655-1905
Mailing address
1103 E COURT ST, MARION, NC 28752-3528
(828) 659-7323
(828) 655-1905
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
NC5490
NC
1223G0001X
General Practice Dentistry
Primary
NC5490
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
031T0
BCBS GROUP #
NC
01
—
89013T0
MEDICAID GROUP #
NC
05
—
8990110
—
NC
01
—
90110
BCBS IND. #
NC
Enumeration date
01/13/2006
Last updated
07/29/2013
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