Provider Demographics
NPI:1962521583
Name:TURNER, MARK G (DDS)
Entity type:Individual
Prefix:DR
First Name:MARK
Middle Name:G
Last Name:TURNER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:192 SUMMERFIELD CT
Mailing Address - Street 2:STE.201
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24019-4556
Mailing Address - Country:US
Mailing Address - Phone:540-992-3420
Mailing Address - Fax:540-992-3545
Practice Address - Street 1:192 SUMMERFIELD CT
Practice Address - Street 2:STE.201
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24019-4556
Practice Address - Country:US
Practice Address - Phone:540-992-3420
Practice Address - Fax:540-992-3545
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA04010063281223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice