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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1861029498

Mark E Vanduker is a Student in an Organized Health Care Education/Training Program in Scottsdale, Arizona. Works from 4 locations. Licensed in Arizona.

Licensed in
AZ
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

5717 E Thomas Rd Ste 110
Scottsdale, AZ 85251-7620
Phone: (480) 207-5070
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 111 Michigan Ave Nw, Washington, DC 20010-2916 — (888) 884-2327
  • 4528 Maple Ln Se Ste 201, Olympia, WA 98501-8640 — (360) 352-3515
  • 1959 Ne Pacific St # B-307, Seattle, WA 98195-0001 — (206) 616-6996

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence D011921 (AZ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1861029498
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 24, 2020
Last updated in NPPESAugust 29, 2023
Certification dateAugust 29, 2023

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