Search › Indiana › 122300000X
Mark Detert, DDS
NPI 1912021585 · on the registry since 2007
Practice
- Address
- 919 South State Road 2
Hebron, IN 46341 - Phone
- (219) 996-4171
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana