OIG exclusion detail
MARK S COLBURN, D D S, P C
This page shows an imported LEIE row. Verify details against the official OIG source before acting.
Imported OIG rowOfficial OIG source
- NPI
- 0000000000
- Name
- MARK S COLBURN, D D S, P C
- Address
- 1300 13TH ST, STE B, ST CLOUD, FL, 34769
- Specialty
- DENTAL PRACTICE
- Exclusion type
- 1128a1
- Exclusion date
- 19930708
- Reinstatement date
- 00000000
- Waiver
- 00000000
Source snapshot
Imported: May 05, 2026
Rows: 83,001
Checksum: 3a10b8ee0e4691855f74ce65a5e733672474291f79ed1f7cef163328d945e9a7
Open matching NPI page