Individual
DR. MARK RAY MCILWAIN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD, MD
Contact information
Practice address
398 ASHE BLVD, SHEFFIELD, AL 35660-1729
(256) 383-1499
(256) 383-9135
Mailing address
398 ASHE BLVD, SHEFFIELD, AL 35660-1729
(256) 383-1499
(256) 383-9135
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
LNO3783
AL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
00016147
AL
Other
Enumeration date
04/26/2006
Last updated
09/11/2025
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