Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1518003813 Deactivated / Inactive NPI Male Practitioner

Dr. Mark Phillips , DDS

Dentist - General Practice • Marion, IN

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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, Dr. Mark Phillips has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 30, 2007
NPI Deactivation Date November 13, 2017
Total Practice Duration ~10 Years of Practice (2007 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. Mark Phillips, DDS was a registered Dentist - General Practice practicing in Marion, IN. Throughout an active medical career spanning 10 years, Dr. Phillips provided care at the practice location at 3101 S WESTERN AVE until profile deactivation on 2017-11-13.

Practice Location & Contact Primary Location

Practice Address

3101 S Western Ave

Marion, IN 469533966

Telephone 7656621022
Fax 7656621022
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Marion, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
17 Specialists

Practicing in Marion, IN (2204 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 IN 12010758A

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.

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1376157370

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated November 13, 2017

Record deactivated on November 13, 2017

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 3101 S WESTERN AVE, MARION, IN 469533966 (Tel: 7656621022)

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Updated Business Mailing Address July 08, 2007

Registered at PO BOX 3189, SYRACUSE, NY 132203189 (Tel: 3154546000)

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Provider Name / Credentials Updated July 08, 2007

Recorded as MARK PHILLIPS, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #12010758A in IN)

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Initial NPI Registration & Enumeration January 30, 2007

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: 1518003813
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 30, 2007
Last Update: July 08, 2007
Deactivation Date: November 13, 2017

Mailing Address

Po Box 3189

Syracuse, NY 132203189

Phone: 3154546000

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.