Mr Mark W Boback, DDS in Aurora, MN - Dentist

Mr Mark W Boback, DDS is a Dentist based in Aurora, Minnesota. Mr Mark W Boback is licensed to practice in Minnesota (license number 7982) and his current practice location is 22 W 3rd Ave N, Aurora, Minnesota. He can be reached at his office (for appointments etc.) via phone at (218) 229-3341.

NPI number for Mr Mark W Boback is 1700997327 and his current mailing address is 27 N Erie St, Aurora, Minnesota. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1700997327.

Contact Information

	Mr Mark W Boback, DDS
	22 W 3rd Ave N, Aurora, MN 55705
	(218) 229-3341
	Not Available

Healthcare Provider's Profile

Full Name	Mr Mark W Boback
Gender	Male
Speciality	Dentist
Location	22 W 3rd Ave N, Aurora, Minnesota
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1700997327
Provider Enumeration Date: 08/31/2006
Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mr Mark W Boback such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700997327	NPI	-	NPPES
6175382	Other	MN	MNCARE #

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	7982 (Minnesota)	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 W Boback 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 Address	Practice Location Address
Mr Mark W Boback, DDS 27 N Erie St, Aurora, MN 55705 Ph: (218) 229-2112	Mr Mark W Boback, DDS 22 W 3rd Ave N, Aurora, MN 55705 Ph: (218) 229-3341

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Mr Mark W Boback, DDS - Dentist in Aurora, MN