Mark Tuberoso
Dentist - General Practice • Daytona Beach, FL
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Mark Tuberoso has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Mark Tuberoso was a registered Dentist - General Practice practicing in Daytona Beach, FL. Throughout an active medical career spanning 13 years, Mark Tuberoso provided care at the practice location at 1516 S NOVA RD until profile deactivation on 2019-07-09.
Practice Location & Contact Primary Location
1516 S Nova Rd
Daytona Beach, FL 321145816
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Daytona Beach, FL
Practicing in Daytona Beach, FL (7473 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
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.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on July 09, 2019
NPI status registered as active in NPPES database
Registered at 1516 S NOVA RD, DAYTONA BEACH, FL 321145816 (Tel: 3862388440)
Registered at 617 HERBERT ST, PORT ORANGE, FL 321293831 (Tel: 3868825941)
Recorded as MARK TUBEROSO
Dentist (License #DN15333 in FL)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
617 Herbert St
Port Orange, FL 321293831
Phone: 3868825941
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.