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DR. MARK NUTTALL D.M.D.
NPI 1205218716
Dentist - General Practice in Reedsport, OR

Active since June 19, 2015
1289 WINCHESTER AVE, REEDSPORT, OR 97467(888) 468-0022(541) 504-3907 Get Directions Write a Review

NPPES record last updated: October 6, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Mark Nuttall D.m.d. NPPES

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

DR. MARK NUTTALL D.M.D. (NPI 1205218716) is an individual general practice provider in Reedsport, Oregon, licensed in Oregon (D10258) and active in the NPI registry since June 2015.

NPPES Registry Identity

NPI1205218716
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MARK NUTTALLCredential: D.M.D.
Location Address1289 WINCHESTER AVEReedsport, OR 97467-1373
Mailing Address442 Sw Umatilla Ave, Suite 200Redmond, OR 97756-7039 · (888) 480-0022 · Fax (541) 504-3907
Phone(888) 468-0022
Fax(541) 504-3907
Sole ProprietorNo
Enumeration DateJune 19, 2015
Last NPPES UpdateOctober 6, 2015
✔ NPI 1205218716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in OR · D10258
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.
1289 WINCHESTER AVE, Reedsport, OR 97467
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Accepted Insurance

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

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROSALYCE LUCILE ROSE RDH
Dental Hygienist
1289 WINCHESTER AVE
REEDSPORT, OR 97467
Douglas County (888) 468-0022
KAYCE NIKCOLE MCGILVERY CHW, EFDA
Social Worker
1289 WINCHESTER AVE
REEDSPORT, OR 97467
Douglas County (541) 699-2186
KIM VIAN RDH
Dental Hygienist
1289 WINCHESTER AVE
REEDSPORT, OR 97467
Douglas County (888) 468-0022
LUIS ANGEL MORALES VILLARREAL DMD
Dentist (General Practice)
1289 WINCHESTER AVE
REEDSPORT, OR 97467
Douglas County (541) 707-6027

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 Nuttall's NPI number?

The NPI number for Mark Nuttall is 1205218716. It was assigned to this individual provider in the NPPES registry on June 19, 2015.

Where is Mark Nuttall located?

Mark Nuttall practices at 1289 Winchester Ave, Reedsport, OR 97467. The listed phone number is (888) 468-0022.

What is Mark Nuttall's specialty?

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

What insurance does Mark Nuttall accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and PacificSource Health Plans list Mark Nuttall 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 Nuttall was last updated on October 6, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.