Active NPIIndividual provider

Dr. Mark S Dewaele, DMD

Dentist, General Practice in New Canaan, Connecticut

NPI Number1457687170
Practice location
208 South Ave, New Canaan, CT 06840
Fax
203-966-9154
Last updated
October 30, 2009

Mark Steven Dewaele is a Dentist, General Practice based in New Canaan, CT. Mark Steven Dewaele practices in New Canaan, CT and has the professional credentials of DMD. The NPI Number for Mark Steven Dewaele is 1457687170 and holds a License No. 6671 (CT). The current practice location address for Mark Steven Dewaele is 208 South Ave, New Canaan, CT 06840 and can be reached out via phone at 203-966-5944 and via fax at 203-966-9154.

Provider Profile Details

NPI Number
1457687170
Provider Name
Mark Steven Dewaele
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
208 South Ave, New Canaan, CT 06840
Phone Number
203-966-5944
Fax Number
203-966-9154
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
October 30, 2009
Last Update Date
October 30, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
208 South Ave
New Canaan, CT 06840
Zip
06840
Phone Number
203-966-5944
Fax Number
203-966-9154
New Canaan, CT 06840Get directions →

Provider Business Mailing Address Details

Address
208 South Ave
New Canaan, CT 06840
City
New Canaan
State
CT
Zip
06840
Phone Number
203-966-5944
Fax Number
203-966-9154

License Information

License Number
6671
License State
CT
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 Dr. Mark S Dewaele, DMD?

The NPI number of Dr. Mark S Dewaele, DMD is 1457687170. It was assigned on October 30, 2009 and is currently active in the NPPES registry.

What is the specialty of Dr. Mark S Dewaele, DMD?

Dr. Mark S Dewaele, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in CT under license number 6671.

Where does Dr. Mark S Dewaele, DMD practice?

The practice location is 208 South Ave, New Canaan, CT 06840. The office can be reached at 203-966-5944 (phone) or 203-966-9154 (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 1457687170 directly on the NPPES registry website.

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