DR. MARK JEFFREY DOLSON DDS,PC
NPI 1013054170
Dentist - General Practice in O'fallon, MO

Q: What is Mark Dolson's NPI number?

The NPI number for Mark Dolson is 1013054170. It was assigned to this individual provider in the NPPES registry on January 30, 2007.

Q: What is Mark Dolson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: Is Mark Dolson enrolled in Medicare?

No. Mark Dolson has opted out of Medicare through August 6, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Mark Dolson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 30, 2007Opted out of Medicare · through Aug 6, 2028

126 TRIAD WEST DR., O'FALLON, MO 63366(636) 978-2226(636) 281-1441 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Dr. Mark Jeffrey Dolson Dds,pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARK JEFFREY DOLSON DDS,PC (NPI 1013054170) is an individual general practice provider in O'fallon, Missouri, licensed in Missouri (2000157312) and active in the NPI registry since January 2007. He has opted out of Medicare through August 6, 2028.

NPPES Registry Identity

NPI1013054170

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. MARK JEFFREY DOLSONCredential: DDS,PC

Location Address126 TRIAD WEST DR.O'fallon, MO 63366

Mailing Address126 Triad West Dr.O'fallon, MO 63366 · (636) 978-2226 · Fax (636) 281-1441

Phone(636) 978-2226

Fax(636) 281-1441

Sole ProprietorYes

Enumeration DateJanuary 30, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1013054170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MO · 2000157312

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

126 TRIAD WEST DR., O'fallon, MO 63366

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Best Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Mark Jeffrey Dolson Dds,pc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 6, 2020 through August 6, 2028.

Opt-Out Effective DateAugust 6, 2020

Opt-Out In Effect ThroughAugust 6, 2028Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Dolson's NPI number?

The NPI number for Mark Dolson is 1013054170. It was assigned to this individual provider in the NPPES registry on January 30, 2007.

Where is Mark Dolson located?

Mark Dolson practices at 126 Triad West Dr., O'fallon, MO 63366. The listed phone number is (636) 978-2226.

What is Mark Dolson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Mark Dolson enrolled in Medicare?

No. Mark Dolson has opted out of Medicare through August 6, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Mark Dolson accept?

Health plans from Anthem Blue Cross and Blue Shield, Best Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Mark Dolson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mark Dolson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.