Dr. Mark Stephen Rasch
Periodontist
4881 Sugar Maple Dr
Wright Patterson Afb
, Ohio 45433-5546
Dr. Mark Stephen Rasch
Periodontist
4881 Sugar Maple Dr
Wright Patterson Afb
, Ohio 45433-5546
(937) 848-8296
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About
Features
Specialties
- Periodontist
Languages spoken
- English
Location
First Address
- Dr. Mark Stephen Rasch
- 2135 Hillrise Cir
- Bellbrook, OH
- Zip : 45305-1860
- Phone : (937) 848-8296
Second Address
- Dr. Mark Stephen Rasch
- 4881 Sugar Maple Dr
- Wright Patterson Afb, OH
- Zip : 45433-5546
- Phone : (937) 257-0500
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0300X | Periodontist | 30-022046 | OH |
National Provider Identifier
| NPI | 1073501813 |
|---|---|
| Provider Name | Dr. Mark Stephen Rasch |
| First Address | Bellbrook, OH 45305-1860 |
| Second Address | Wright Patterson Afb, OH 45433-5546 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/10/2005 |
| Last Update Date | 08/07/2007 |
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.