Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1417035395 Individual Practitioner Male Practitioner

Dr. Mark L Mashburn , DDS

Dentist - General Practice • Texarkana, TX

Professional Overview & Biography Verified Profile Summary

Dr. Mark Mashburn, DDS is a registered healthcare professional specializing in Dentist - General Practice in Texarkana, TX. Practice services are available at 1400 COLLEGE DR STE 204 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1400 College Dr Ste 204

Texarkana, TX 755033575

Telephone 9037911110
Fax 9037919353
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Texarkana, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
27 Specialists

Practicing in Texarkana, TX (10570 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

CMS Verified: 2023-08-28
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License TX 22854

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.

Dentist

NUCC Taxonomy Code: 122300000X

State License TX 22854

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License AR 3526

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

Commercial Insurance / Payer ID Tx License
22854 (TX)
Commercial Insurance / Payer ID United Concordia
1746328 (AR)
Commercial Insurance / Payer ID Bcbs
5Y565 (AR)

Secondary Practice Locations

4306 Texas Blvd

Texarkana, TX 755033014

Phone: 9037945386

Practice Associates & Co-Workers

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

29 Associated Practitioners
Ashli Sutton , LPC

Counselor - Mental Health

NPI 1033359088

Licensed Professional Counselor

Matthew Sparks , PA-C

Physician Assistant

NPI 1063273019

Physician Assistant (Certified)

Terri Rowe , LMSW

Case Manager/Care Coordinator

NPI 1073892634

Licensed Master Social Worker

Andrea Yarbrough , LPC

Counselor - Professional

NPI 1083315105

Licensed Professional Counselor

Krista Niemeyer , APN

Nurse Practitioner - Pediatrics

NPI 1124396833

Advanced Practice Nurse

Holly Eitel

Nurse Practitioner - Family

NPI 1144191305

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location August 28, 2023

Registered at 1400 COLLEGE DR STE 204, TEXARKANA, TX 755033575 (Tel: 9037911110)

📍
Updated Business Mailing Address August 28, 2023

Registered at PO BOX 1326, MARSHALL, TX 756711326 (Tel: 9039273782)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 16, 2021

Dentist (License #22854 in TX)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 12, 2020

Dentist (License #22854 in TX)

NPI Profile Active November 08, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location November 08, 2010

Registered at 4306 TEXAS BLVD, TEXARKANA, TX 755033014 (Tel: 9037945386)

📍
Updated Business Mailing Address November 08, 2010

Registered at 4306 TEXAS BLVD, TEXARKANA, TX 755033014 (Tel: 9037945386)

👤
Provider Name / Credentials Updated November 08, 2010

Recorded as MARK MASHBURN, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 08, 2010

Dentist (License #22854 in TX)

🟢
Initial NPI Registration & Enumeration November 01, 2006

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: 1417035395
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 01, 2006
Last Update: August 28, 2023
Sole Proprietor: No

Mailing Address

Po Box 1326

Marshall, TX 756711326

Phone: 9039273782

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.