Mark Robert Detert, DDS
Dentist · Hebron, IN
Practice location
919 South State Road 2Hebron, IN 46341-9539
- Phone
- (219) 996-4171
NPI record
- NPI
- 1912021585
- Entity type
- Individual (Type 1)
- Enumeration date
- March 19, 2007
- Last updated
- July 8, 2007
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X |
7849 | IN |
About Dr. Detert
Mark Robert Detert, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 919 South State Road 2, Hebron, IN 46341-9539. The NPI number 1912021585 was assigned on March 19, 2007 and the record was last updated on July 8, 2007.
Dr. Detert lists a license in the registry: #7849 (IN) 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 Robert Detert, DDS?
The NPI number is 1912021585.
What is the phone number of Dr. Detert?
The phone number listed for the practice location is (219) 996-4171.
Where is Dr. Detert located?
919 South State Road 2, Hebron, IN 46341-9539.
What is the taxonomy code for Dr. Detert?
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.
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