Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Mark Ericsson

Individual provider Dentist · NPI 1629374319

Dr. Mark Ericsson is a Dentist in Boca Raton, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2011

Practice location Address checks out

4400 N Federal Hwy Ste 176
Boca Raton, FL 33431-5187
Phone: (561) 479-4000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN0011066 (FL)

Record details

NPI number1629374319
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 28, 2011
Last updated in NPPESJanuary 28, 2011
Mailing address4400 N Federal Hwy, Suite 176, Boca Raton, FL 33431-5187

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