MARK J LODGE DDS
NPI 1609906791
Dentist - General Practice in Grand Blanc, MI

Active since March 07, 2007PECOS Enrolled
134 HIGH ST, GRAND BLANC, MI 48439(810) 694-8073(810) 694-1764 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mark J Lodge Dds NPPES

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

MARK J LODGE DDS (NPI 1609906791) is an individual general practice provider in Grand Blanc, Michigan, licensed in Michigan (2901015757) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609906791
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameMARK J LODGECredential: DDS
Location Address134 HIGH STGrand Blanc, MI 48439-1335
Mailing Address134 High StGrand Blanc, MI 48439-1335 · (810) 694-8073 · Fax (810) 694-1764
Fax(810) 694-1764
Sole ProprietorYes
Enumeration DateMarch 7, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1609906791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in MI · 2901015757
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.

134 HIGH ST, Grand Blanc, MI 48439

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mark J Lodge Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48439 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

Dentist (General Practice)
134 HIGH ST
GRAND BLANC, MI 48439

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 Lodge's NPI number?

The NPI number for Mark Lodge is 1609906791. It was assigned to this individual provider in the NPPES registry on March 7, 2007.

Where is Mark Lodge located?

Mark Lodge practices at 134 High St, Grand Blanc, MI 48439. The listed phone number is (810) 694-8073.

What is Mark Lodge's specialty?

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

Is Mark Lodge enrolled in Medicare?

Yes. Mark Lodge is registered in the Medicare PECOS enrollment system.

What insurance does Mark Lodge accept?

Health plans from Delta Dental of Michigan and Humana list Mark Lodge 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 Lodge was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.