Most Relevant Information
Provider Data
| NPI Number: | 1003384215 |
| Provider Name: | MARK DAVID DEVINCENZI DMD |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | 10869 |
Most Important Dates
| Enumeration Date: | 11/06/2018 |
| Last Updated: | 11/06/2018 |
Provider Practice Location
2805 SUMMER OAKS DR
MEMPHIS
TN
381343812
Practice Location Phone/Fax
| Phone: | 9018810483 |
| Fax: |
Provider Mailing Location
2805 SUMMER OAKS DR
MEMPHIS
TN
381343812
Provider Mailing Phone/Fax
| Phone: | 9018810483 |
| Fax: |