Dr. Mark L Connolly, DMD
Dentist, General Practice in Medford, Massachusetts
1053396259- Practice location
- 411 High St, Medford, MA 02155-3610
- Phone
- 781-396-7707
- Fax
- 781-395-5035
- Last updated
- July 13, 2026
Mark L Connolly is a Dentist, General Practice based in Medford, MA. Mark L Connolly practices in Medford, MA and has the professional credentials of DMD. The NPI Number for Mark L Connolly is 1053396259 and holds a License No. 13550 (MA). The current practice location address for Mark L Connolly is 411 High St, Medford, MA 02155-3610 and can be reached out via phone at 781-396-7707 and via fax at 781-395-5035.
Provider Profile Details
- NPI Number
- 1053396259
- Provider Name
- Mark L Connolly
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 411 High St, Medford, MA 02155-3610
- Phone Number
- 781-396-7707
- Fax Number
- 781-395-5035
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 9, 2005
- Last Update Date
- July 13, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 411 High St
Medford, MA 02155-3610 - City
- Medford
- State
- Massachusetts
- Zip
- 02155-3610
- Phone Number
- 781-396-7707
- Fax Number
- 781-395-5035
Provider Business Mailing Address Details
- Address
- 411 High St
Medford, MA 02155-3610 - City
- Medford
- State
- MA
- Zip
- 02155-3610
- Phone Number
- 781-396-7707
- Fax Number
- 781-395-5035
License Information
- License Number
- 13550
- License State
- MA
- Taxonomy
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Mark L Connolly, DMD?
The NPI number of Dr. Mark L Connolly, DMD is 1053396259. It was assigned on December 9, 2005 and is currently active in the NPPES registry.
What is the specialty of Dr. Mark L Connolly, DMD?
Dr. Mark L Connolly, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number 13550.
Where does Dr. Mark L Connolly, DMD practice?
The practice location is 411 High St, Medford, MA 02155-3610. The office can be reached at 781-396-7707 (phone) or 781-395-5035 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053396259 directly on the NPPES registry website.