Individual
DR. MARK G KARPOVCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
101 S US HIGHWAY 441, LADY LAKE, FL 32159-4378
(352) 753-1114
(352) 753-9127
Mailing address
101 S US HIGHWAY 441, LADY LAKE, FL 32159-4378
(352) 753-1114
(352) 753-9127
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN12163
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
U21992
BASIC UPIN ( WE ARE NOT MEDICARE PROVIDERS)
FL
Enumeration date
06/15/2009
Last updated
10/21/2011
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