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MARK J LODGE
NPI 1790569622
Dentist - General Practice in Grand Blanc, MI

Active since August 22, 2023
134 HIGH ST, GRAND BLANC, MI 48439(810) 694-8073(810) 694-1764 Get Directions Write a Review

NPPES record last updated: August 22, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mark J Lodge NPPES

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

MARK J LODGE (NPI 1790569622) is a healthcare organization registered as a general practice in Grand Blanc, Michigan and active in the NPI registry since August 2023. The organization lists Sandra Smith, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1790569622
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMARK J LODGE
Location Address134 HIGH STGrand Blanc, MI 48439-1335
Mailing Address134 High StGrand Blanc, MI 48439-1335 · (810) 694-8073 · Fax (810) 694-1764
Phone(810) 694-8073
Fax(810) 694-1764
Organization SubpartNo
Authorized OfficialSandra SmithOffice Manager · (810) 694-8073
Enumeration DateAugust 22, 2023
NPPES CertifiedAugust 22, 2023
✔ NPI 1790569622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

MARK J LODGE DDS
Dentist (General Practice)
134 HIGH ST
GRAND BLANC, MI 48439
Genesee County (810) 694-8073

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 J Lodge's NPI number?

The NPI number for Mark J Lodge is 1790569622. It was assigned to this organization in the NPPES registry on August 22, 2023.

Where is Mark J Lodge located?

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

What is Mark J Lodge'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 J Lodge was last updated on August 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.