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Active NPI 1902397425 Individual Practitioner Male Practitioner

Dr. Mark David Krull , DDS

Dentist - General Practice • Traverse City, MI

Professional Overview & Biography Verified Profile Summary

Dr. Mark Krull, DDS is a registered healthcare professional specializing in Dentist - General Practice in Traverse City, MI. Practice services are available at 13300 S WEST BAY SHORE DR STE 1 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

13300 S West Bay Shore Dr Ste 1

Traverse City, MI 496845571

Telephone 2319460207
Associated Practice Facility / Clinic
🏢 Harborside Dental Pllc Facility NPI 1114563012

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Traverse City, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.8 Yrs
Regional Practice Density
43 Specialists

Practicing in Traverse City, MI (4360 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 MI 2901022619

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.

Secondary Practice Locations

1500 Caberfae Hwy

Manistee, MI 496609200

Phone: 2317238272

Practice Associates & Co-Workers

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

2 Associated Practitioners
Dr. Frank Rugani , DDS

Dentist - General Practice

NPI 1013966522

Doctor of Dental Surgery

Dr. Stephen Kozelko , DDS

Dentist - General Practice

NPI 1255381893

Doctor of Dental Surgery

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Practice Location November 26, 2019

Registered at 13300 S WEST BAY SHORE DR STE 1, TRAVERSE CITY, MI 496845571 (Tel: 2319460207)

NPI Profile Active May 21, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location May 21, 2018

Registered at 1500 CABERFAE HWY, MANISTEE, MI 496609200 (Tel: 2317238272)

📍
Updated Business Mailing Address May 21, 2018

Registered at 8866 MANHATTAN N, TRAVERSE CITY, MI 496855823 (Tel: 2312183944)

👤
Provider Name / Credentials Updated May 21, 2018

Recorded as MARK KRULL, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 21, 2018

Dentist (License #2901022619 in MI)

🟢
Initial NPI Registration & Enumeration May 21, 2018

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: 1902397425
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 21, 2018
Last Update: November 26, 2019
Sole Proprietor: No

Mailing Address

8866 Manhattan N

Traverse City, MI 496855823

Phone: 2312183944

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.