Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1538528641 Individual Practitioner Male Practitioner

Mark Robert Birmingham

Dentist - General Practice • Wasilla, AK

Professional Overview & Biography Verified Profile Summary

Mark Birmingham is a registered healthcare professional specializing in Dentist - General Practice in Wasilla, AK. Practice services are available at 4501 E SNIDER DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4501 E Snider Dr

Wasilla, AK 996547604

Telephone 9073768400
Fax 9073768402
Associated Practice Facility / Clinic
🏢 Aurora Dental Clinic, Llc Facility NPI 1922310432

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Wasilla, AK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 4.0 Yrs
Regional Practice Density
24 Specialists

Practicing in Wasilla, AK (346 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License AK 106211

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1003845 (AK)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
NPI 1033394234

Doctor of Dental Surgery

Dr. Kevin Parks , DDS

Dentist - General Practice

NPI 1124381363

Doctor of Dental Surgery

NPI 1205010246

Doctor of Dental Surgery

NPI 1356688501

Doctor of Dental Surgery

Dr. Stephen Pratt , DDS

Dentist - General Practice

NPI 1710185848

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active February 17, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location February 17, 2016

Registered at 4501 E SNIDER DR, WASILLA, AK 996547604 (Tel: 9073768400)

📍
Updated Business Mailing Address February 17, 2016

Registered at 4501 E SNIDER DR, WASILLA, AK 996547604 (Tel: 9073768400)

👤
Provider Name / Credentials Updated February 17, 2016

Recorded as MARK BIRMINGHAM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 17, 2016

Dentist (License #106211 in AK)

🟢
Initial NPI Registration & Enumeration February 17, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1538528641
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 17, 2016
Last Update: February 17, 2016
Sole Proprietor: No

Mailing Address

4501 E Snider Dr

Wasilla, AK 996547604

Phone: 9073768400

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.