Organization
MARK W. ICARD, D.D.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK WINSLOW ICARD D.D.S. (DENTIST)
(704) 455-5003
Entity
Organization
Contact information
Practice address
5500 HIGHWAY 49 S, SUITE 500, HARRISBURG, NC 28075-8414
(704) 455-5003
(704) 455-3587
Mailing address
5500 HIGHWAY 49 S, SUITE 500, HARRISBURG, NC 28075-8414
(704) 455-5003
(704) 455-3587
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5668
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8994419
—
NC
Enumeration date
06/11/2007
Last updated
08/22/2020
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