Organization
MARK J NESBITT DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK JAMES NESBITT DDS (OWNER DENTIST)
(724) 316-6968
Entity
Organization
Contact information
Practice address
4821 BUTLER RD STE 2B, GLYNDON, MD 21136-5688
(410) 833-6200
Mailing address
16616 REMARE RD, MONKTON, MD 21111-1603
(724) 316-6968
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/06/2024
Last updated
05/06/2024
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