DR. Mark Jeffrey Dolson, DDS,PC

NPI #1013054170 in O'fallon, Missouri

Provider Information

NPI Number: 1013054170
Entity Type: Individual
Name: DR. Mark Jeffrey Dolson, DDS,PC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DDS,PC
Enumeration Date: Jan 30, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 126 TRIAD WEST DR.
City: O'fallon
State: Missouri
ZIP Code: 63366
Phone: (636) 978-2226

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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Organizations

Provider Name	Specialty	City
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