Dr. Derek Thomas Marks
Pediatric Dentist
3310 Highway 5 North
Bryant
, Arkansas 72022
Dr. Derek Thomas Marks
Pediatric Dentist
3310 Highway 5 North
Bryant
, Arkansas 72022
(501) 847-7070
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About
Features
Specialties
- Pediatric Dentist
Languages spoken
- English
Location
First Address
- Dr. Derek Thomas Marks
- 3310 Highway 5 North
- Bryant, AR
- Zip : 72022
- Phone : (501) 847-7070
Second Address
- Dr. Derek Thomas Marks
- 3310 Highway 5 North
- Bryant, AR
- Zip : 72022
- Phone : (501) 847-7070
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0221X | Pediatric Dentist | 3619 | AR |
National Provider Identifier
| NPI | 1033318068 |
|---|---|
| Provider Name | Dr. Derek Thomas Marks |
| First Address | Bryant, AR 72022 |
| Second Address | Bryant, AR 72022 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/07/2007 |
| Last Update Date | 03/03/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 164860608 | (05) | AR |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.