Provider Demographics
NPI:1841777547
Name:NAGORKA, MARK HENRY (DDS)
Entity type:Individual
Prefix:DR
First Name:MARK
Middle Name:HENRY
Last Name:NAGORKA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:721 MOORE RD STE 304B
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44319-5218
Mailing Address - Country:US
Mailing Address - Phone:248-705-6145
Mailing Address - Fax:
Practice Address - Street 1:4774 MUNSON ST NW STE 102
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44718-3634
Practice Address - Country:US
Practice Address - Phone:330-494-6653
Practice Address - Fax:330-494-6630
Is Sole Proprietor?:No
Enumeration Date:2018-07-25
Last Update Date:2025-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.0280861223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery