DR. MARK ROBERT DETERT DDS
NPI 1912021585
Dentist in Hebron, IN

Active since March 19, 2007PECOS Enrolled
919 SOUTH STATE ROAD 2, HEBRON, IN 46341(219) 996-4171 Get Directions Write a Review

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

About Dr. Mark Robert Detert Dds NPPES

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

DR. MARK ROBERT DETERT DDS (NPI 1912021585) is an individual dentist in Hebron, Indiana, licensed in Indiana (7849) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912021585
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. MARK ROBERT DETERTCredential: DDS
Location Address919 SOUTH STATE ROAD 2Hebron, IN 46341-9539
Mailing Address919 South State Road 2Hebron, IN 46341-9539 · (219) 996-4171
Sole ProprietorNo
Enumeration DateMarch 19, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1912021585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in IN · 7849
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
919 SOUTH STATE ROAD 2, Hebron, IN 46341

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)

Dr. Mark Robert Detert 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 46341 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

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 Detert's NPI number?

The NPI number for Mark Detert is 1912021585. It was assigned to this individual provider in the NPPES registry on March 19, 2007.

Where is Mark Detert located?

Mark Detert practices at 919 South State Road 2, Hebron, IN 46341. The listed phone number is (219) 996-4171.

What is Mark Detert's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Mark Detert enrolled in Medicare?

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

What insurance does Mark Detert accept?

Health plans from Delta Dental of Indiana list Mark Detert 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 Detert 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.