Provider Demographics
NPI:1487878377
Name:MARK D. VOIGT, D.D.S., P.C.
Entity type:Organization
Organization Name:MARK D. VOIGT, D.D.S., P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:NARDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-838-8558
Mailing Address - Street 1:2024 S DON CARLOS
Mailing Address - Street 2:SUITE A
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85202-6357
Mailing Address - Country:US
Mailing Address - Phone:480-838-8558
Mailing Address - Fax:
Practice Address - Street 1:2024 S DON CARLOS
Practice Address - Street 2:SUITE A
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85202-6357
Practice Address - Country:US
Practice Address - Phone:480-838-8558
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ5732122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty