MARK ALAN CRUISE D.M.D.
NPI 1295721645
Dentist - General Practice in Salem, OR

Active since September 21, 2005
640 12TH ST SE, SALEM, OR 97301(503) 364-7944(503) 585-8902 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mark Alan Cruise D.m.d. NPPES

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

MARK ALAN CRUISE D.M.D. (NPI 1295721645) is an individual general practice provider in Salem, Oregon, licensed in Oregon (6138) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1295721645
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameMARK ALAN CRUISECredential: D.M.D.
Location Address640 12TH ST SESalem, OR 97301-4001
Mailing Address640 12th St SeSalem, OR 97301-4001 · (503) 364-7944 · Fax (503) 585-8902
Fax(503) 585-8902
Sole ProprietorNo
Enumeration DateSeptember 21, 2005
Last NPPES UpdateJuly 8, 2007
NPI 1295721645 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 · 6138
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.
640 12TH ST SE, Salem, OR 97301

Other Providers at the Same Location NPPES 2

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

Clinic/Center (Dental)
640 12TH ST SE
SALEM, OR 97301
Dentist
640 12TH ST SE
SALEM, OR 97301

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 Cruise's NPI number?

The NPI number for Mark Cruise is 1295721645. It was assigned to this individual provider in the NPPES registry on September 21, 2005.

Where is Mark Cruise located?

Mark Cruise practices at 640 12th St SE, Salem, OR 97301. The listed phone number is (503) 364-7944.

What is Mark Cruise's specialty?

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

When was this NPI record last updated?

The NPPES record for Mark Cruise 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.