Mark David Krull, DDS

General Practice Dentistry · Traverse City, MI

Individual Active NPI

NPI number 1902397425

Practice location

13300 S West Bay Shore Dr Ste 1
Traverse City, MI 49684-5571
Phone
(231) 946-0207

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NPI record

NPI
1902397425
Entity type
Individual (Type 1)
Enumeration date
May 21, 2018
Last updated
November 26, 2019
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 2901022619 MI

Mailing address

8866 Manhattan N
Traverse City, MI 49685-5823
Phone
(231) 218-3944

Other practice locations (1)

  • 1500 Caberfae Hwy, Manistee, MI 49660-9200 · (231) 723-8272

About Dr. Krull

Mark David Krull, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 13300 S West Bay Shore Dr Ste 1, Traverse City, MI 49684-5571. The NPI number 1902397425 was assigned on May 21, 2018 and the record was last updated on November 26, 2019.

Dr. Krull lists a license in the registry: #2901022619 (MI) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mark David Krull, DDS?

The NPI number is 1902397425.

What is the phone number of Dr. Krull?

The phone number listed for the practice location is (231) 946-0207.

Where is Dr. Krull located?

13300 S West Bay Shore Dr Ste 1, Traverse City, MI 49684-5571.

What is the taxonomy code for Dr. Krull?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

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.

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