DR. MARK SUNDEM
NPI 1508226317
Dentist - General Practice in San Antonio, TX

Active since March 07, 2016
2133 PEPPERRELL ST BLDG 3352, SAN ANTONIO, TX 78236(830) 221-0459 Get Directions Write a Review

NPPES record last updated: July 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 29, 2021, May 5, 2018, Apr 9, 2018 and 1 more (4 updates tracked since 2016).

About Dr. Mark Sundem NPPES

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

DR. MARK SUNDEM (NPI 1508226317) is an individual general practice provider in San Antonio, Texas, licensed in Washington (60659999) and active in the NPI registry since March 2016.

NPPES Registry Identity

NPI1508226317
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MARK SUNDEM
Location Address2133 PEPPERRELL ST BLDG 3352San Antonio, TX 78236-5313
Mailing Address1722 Nw 8th AveCamas, WA 98607-2614 · (360) 448-8986
Sole ProprietorNo
Enumeration DateMarch 7, 2016
Last NPPES UpdateJuly 14, 20254 updates tracked since enumeration
NPPES CertifiedJuly 14, 2025
NPI 1508226317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in WA · 60659999
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.
2133 PEPPERRELL ST BLDG 3352, San Antonio, TX 78236

Other Providers at the Same Location NPPES 20

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

Dentist (Orthodontics and Dentofacial Orthopedics)
2133 PEPPERRELL ST BLDG 3352
JBSA LACKLAND, TX 78236
Dentist
2133 PEPPERRELL ST BLDG 3352, 2133 PEPPERRELL STREET, BUILDING 3352
JBSA LACKLAND, TX 78236
Dentist (Orthodontics and Dentofacial Orthopedics)
2133 PEPPERRELL ST BLDG 3352
JBSA LACKLAND, TX 78236
Dentist (General Practice)
2133 PEPPERRELL ST BLDG 3352
JBSA LACKLAND, TX 78236
Dentist (General Practice)
2133 PEPPERRELL ST BLDG 3352
JBSA LACKLAND, TX 78236
Dentist
2133 PEPPERRELL ST BLDG 3352
JBSA LACKLAND, TX 78236
Student in an Organized Health Care Education/Training Program
2133 PEPPERRELL ST BLDG 3352
JBSA LACKLAND, TX 78236
Dentist
2133 PEPPERRELL ST BLDG 3352
JBSA LACKLAND, TX 78236

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 Sundem's NPI number?

The NPI number for Mark Sundem is 1508226317. It was assigned to this individual provider in the NPPES registry on March 7, 2016.

Where is Mark Sundem located?

Mark Sundem practices at 2133 Pepperrell St Bldg 3352, San Antonio, TX 78236. The listed phone number is (830) 221-0459.

What is Mark Sundem'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 Sundem was last updated on July 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.