Mr Mark Glenn Maddox, DDS - Dentist in Tuolumne, CA

Mr Mark Glenn Maddox, DDS is a Dentist based in Tuolumne, California. Mr Mark Glenn Maddox is licensed to practice in California (license number 23849D) and his current practice location is 18400 Chestnut St, Tuolumne, California. He can be reached at his office (for appointments etc.) via phone at (209) 928-4262.

NPI number for Mr Mark Glenn Maddox is 1679732432 and his current mailing address is Po Box 897, Tuolumne, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1679732432.

Contact Information

Mr Mark Glenn Maddox, DDS
18400 Chestnut St,
Tuolumne, CA 95379
(209) 928-4262
Not Available



Healthcare Provider's Profile

Full NameMr Mark Glenn Maddox
GenderMale
SpecialityDentist
Location18400 Chestnut St, Tuolumne, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1679732432
  • Provider Enumeration Date: 06/06/2008
  • Last Update Date: 06/06/2008

Medical Identifiers

Medical identifiers for Mr Mark Glenn Maddox such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679732432NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 23849D (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Mark Glenn Maddox is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Mark Glenn Maddox, DDS
Po Box 897,
Tuolumne, CA 95379

Ph: (209) 928-4262
Mr Mark Glenn Maddox, DDS
18400 Chestnut St,
Tuolumne, CA 95379

Ph: (209) 928-4262

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Dentist in Tuolumne, CA

Dr. James Schuler,
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 18880 Cherry Valley Blvd, Tuolumne, CA 95379
Phone: 209-928-5481    
Dr. Dennis Charles Dryden, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 18670 Carter St, Tuolumne, CA 95379
Phone: 209-928-4279    Fax: 209-928-4101

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