Active NPIIndividual provider

Mark D Medaugh, DMD

Dentist, General Practice in Belchertown, Massachusetts

NPI Number1104930254
Practice location
23 Main St, Belchertown, MA 01007
Fax
413-323-7253
Last updated
August 8, 2012

Mark David Medaugh is a Dentist, General Practice based in Belchertown, MA. Mark David Medaugh practices in Belchertown, MA and has the professional credentials of DMD. The NPI Number for Mark David Medaugh is 1104930254 and holds a License No. 21023 (MA). The current practice location address for Mark David Medaugh is 23 Main St, Belchertown, MA 01007 and can be reached out via phone at 413-323-4335 and via fax at 413-323-7253.

Provider Profile Details

NPI Number
1104930254
Provider Name
Mark David Medaugh
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
23 Main St, Belchertown, MA 01007
Phone Number
413-323-4335
Fax Number
413-323-7253
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
August 18, 2006
Last Update Date
August 8, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
23 Main St
Belchertown, MA 01007
Zip
01007
Phone Number
413-323-4335
Fax Number
413-323-7253
Belchertown, MA 01007Get directions →

Provider Business Mailing Address Details

Address
Po Box 1310
Belchertown, MA 01007
City
Belchertown
State
MA
Zip
01007
Phone Number
713-323-4335
Fax Number
413-323-7253

License Information

License Number
21023
License State
MA
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Mark D Medaugh, DMD?

The NPI number of Mark D Medaugh, DMD is 1104930254. It was assigned on August 18, 2006 and is currently active in the NPPES registry.

What is the specialty of Mark D Medaugh, DMD?

Mark D Medaugh, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number 21023.

Where does Mark D Medaugh, DMD practice?

The practice location is 23 Main St, Belchertown, MA 01007. The office can be reached at 413-323-4335 (phone) or 413-323-7253 (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 1104930254 directly on the NPPES registry website.

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