Mark W. Boback, DDS

Dentist · Aurora, MN

Individual Active NPI

NPI number 1700997327

Practice location

22 W 3rd Ave N
Aurora, MN 55705
Phone
(218) 229-3341

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NPI record

NPI
1700997327
Entity type
Individual (Type 1)
Enumeration date
August 31, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 7982 MN

Mailing address

27 N Erie St
Aurora, MN 55705
Phone
(218) 229-2112

About Dr. Boback

Mark W. Boback, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 22 W 3rd Ave N, Aurora, MN 55705. The NPI number 1700997327 was assigned on August 31, 2006 and the record was last updated on July 8, 2007.

Dr. Boback lists a license in the registry: #7982 (MN) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mark W. Boback, DDS?

The NPI number is 1700997327.

What is the phone number of Dr. Boback?

The phone number listed for the practice location is (218) 229-3341.

Where is Dr. Boback located?

22 W 3rd Ave N, Aurora, MN 55705.

What is the taxonomy code for Dr. Boback?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.