Dr. Mark Humphrey
Orthodontists
8657 Old Bonhomme Rd
Saint Louis
, Missouri 63132-3901
Dr. Mark Humphrey
Orthodontists
8657 Old Bonhomme Rd
Saint Louis
, Missouri 63132-3901
(636) 734-6896
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About
Features
Specialties
- Orthodontists
Languages spoken
- English
Location
First Address
- Dr. Mark Humphrey
- 8657 Old Bonhomme Rd
- Saint Louis, MO
- Zip : 63132-3901
- Phone : (636) 734-6896
Second Address
- Dr. Mark Humphrey
- 8657 Old Bonhomme Rd
- Saint Louis, MO
- Zip : 63132-3901
- Phone : (636) 734-6896
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223X0400X | Orthodontists | 2014016805 | MO |
National Provider Identifier
| NPI | 1023556743 |
|---|---|
| Provider Name | Dr. Mark Humphrey |
| First Address | Saint Louis, MO 63132-3901 |
| Second Address | Saint Louis, MO 63132-3901 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/02/2017 |
| Last Update Date | 01/02/2017 |
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.