MARK S. GRESKOVICH D.M.D, PA
NPI 1316970197
Dentist - Oral and Maxillofacial Surgery in Pensacola, FL

Active since July 08, 2006Opted out of Medicare · through Oct 1, 2028
4850 N 9TH AVE STE 4, PENSACOLA, FL 32503(850) 477-1125(850) 479-5809 Get Directions Write a Review

NPPES record last updated: December 5, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mark S. Greskovich D.m.d, Pa NPPES

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

MARK S. GRESKOVICH D.M.D, PA (NPI 1316970197) is an individual oral and maxillofacial surgery provider in Pensacola, Florida, licensed in Florida (DN0011988) and active in the NPI registry since July 2006. He has opted out of Medicare through October 1, 2028.

NPPES Registry Identity

NPI1316970197
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameMARK S. GRESKOVICHCredential: D.M.D, PA
Location Address4850 N 9TH AVE STE 4Pensacola, FL 32503-2406
Mailing Address4850 N 9th Ave Ste 4Pensacola, FL 32503-2406 · (850) 477-1125 · Fax (850) 479-5809
Fax(850) 479-5809
Sole ProprietorYes
Enumeration DateJuly 8, 2006
Last NPPES UpdateDecember 5, 2007
✔ NPI 1316970197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses✔ Licensed in FL · DN0011988✔ Licensed in AL · 4229
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
4850 N 9TH AVE STE 4, Pensacola, FL 32503

Other Identifiers 2

Medicare UPINU35085FL
Medicare ID-Type Unspecified69160FL

Accepted 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

Mark S. Greskovich D.m.d, Pa 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 October 1, 2026 through October 1, 2028.

Opt-Out Effective DateOctober 1, 2026
Opt-Out In Effect ThroughOctober 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 9

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

Dentist (Oral and Maxillofacial Surgery)
4850 N 9TH AVE STE 4
PENSACOLA, FL 32503
Dentist (Oral and Maxillofacial Surgery)
4850 N 9TH AVE STE 4
PENSACOLA, FL 32503
Dentist (Oral and Maxillofacial Surgery)
4850 N 9TH AVE STE 4
PENSACOLA, FL 32503
Dentist (Oral and Maxillofacial Surgery)
4850 N 9TH AVE STE 4
PENSACOLA, FL 32503
Dentist (Oral and Maxillofacial Surgery)
4850 N 9TH AVE STE 4
PENSACOLA, FL 32503
Dentist (Oral and Maxillofacial Surgery)
4850 N 9TH AVE STE 4
PENSACOLA, FL 32503
Dentist (Oral and Maxillofacial Surgery)
4850 N 9TH AVE STE 4
PENSACOLA, FL 32503
Dentist (Oral and Maxillofacial Surgery)
4850 N 9TH AVE STE 4
PENSACOLA, FL 32503

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 Greskovich's NPI number?

The NPI number for Mark Greskovich is 1316970197. It was assigned to this individual provider in the NPPES registry on July 8, 2006.

Where is Mark Greskovich located?

Mark Greskovich practices at 4850 N 9th Ave Ste 4, Pensacola, FL 32503. The listed phone number is (850) 477-1125.

What is Mark Greskovich's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Mark Greskovich enrolled in Medicare?

No. Mark Greskovich has opted out of Medicare through October 1, 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 Greskovich accept?

Health plans from Best Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and DentaQuest Insurance Company, Inc. and 5 other insurers list Mark Greskovich 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 Greskovich was last updated on December 5, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.