NPI 1013054170

Mark Jeffrey Dolson, DDSPC

Practitioner General Practice Dentistry O'Fallon, MO

Practice location

Address: 126 Triad West Dr., O'Fallon, MO 63366
Phone: (636) 978-2226
Fax: (636) 281-1441

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 2000157312 (MO)

Other Dentist providers in Missouri →

Registry record

NPI: 1013054170
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Jan 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.