NPI 1063902468

Mark Jason Guevarra, DMD

Practitioner Orthodontics and Dentofacial Orthopedics Dentistry Glen Burnie, MD

Practice location

Address: 7671 Quarterfield Rd STE 400, Glen Burnie, MD 21061-4981
Phone: (410) 713-4075

Registered specialties (2)

Orthodontics and Dentofacial Orthopedics Dentistry Primary

Dental Providers Taxonomy 1223X0400X Licence 18335 (MD)

Other Dentist providers in Maryland →

Dentist

Dental Providers Taxonomy 122300000X Licence 019.031520 (IL)

Registry record

NPI: 1063902468
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 May 2018
Record last updated: 11 Mar 2024

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.