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)Code
204E00000X
1223S0112X
Primary Taxonomy
No
No
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