Male or Other

Dr. Mark R. Mcilwain DMD, MD

Full Name

Dr. Mark Ray Mcilwain DMD, MD

NPI Number

1720045685

NPI Type

Individual Provider

Gender

Male

Enumeration Date

04/26/2006

Specialties

(Taxonomies)

Licenses

State

Alabama
Alabama

License Number

00016147
LNO3783

Contact
Information

Purpose

Mailing
Location

Address

398 ASHE BLVD
398 ASHE BLVD

City

Sheffield
Sheffield

State

AL
AL

Postal Code

35660-1729
35660-1729

Country

US
US

Telephone Number

(256) 383-1499
(256) 383-1499

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address