Active NPIIndividual provider

Dr. Mark S Andrawis, DMD

Dentist in Roseland, New Jersey

NPI Number1629434410
Practice location
5 Becker Farm RD, Suite 101, Roseland, NJ 07068-1741
Fax
973-974-9491
Last updated
November 8, 2016

Mark S Andrawis is a Dentist based in Roseland, NJ. Mark S Andrawis practices in Roseland, NJ and has the professional credentials of DMD. The NPI Number for Mark S Andrawis is 1629434410 and holds a License No. 22DI02556300 (NJ). The current practice location address for Mark S Andrawis is 5 Becker Farm RD, Suite 101, Roseland, NJ 07068-1741 and can be reached out via phone at 973-974-9490 and via fax at 973-974-9491.

Provider Profile Details

NPI Number
1629434410
Provider Name
Mark S Andrawis
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
5 Becker Farm RD, Suite 101, Roseland, NJ 07068-1741
Phone Number
973-974-9490
Fax Number
973-974-9491
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
No
Provider Enumeration Date
January 8, 2016
Last Update Date
November 8, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
5 Becker Farm RD
Suite 101
Roseland, NJ 07068-1741
Zip
07068-1741
Phone Number
973-974-9490
Fax Number
973-974-9491
Roseland, NJ 07068Get directions →

Provider Business Mailing Address Details

Address
5 Becker Farm RD
Suite 101
Roseland, NJ 07068-1741
City
Roseland
State
NJ
Zip
07068-1741
Phone Number
973-974-9490
Fax Number
973-974-9491

License Information

License Number (1)
22DI02556300
License State (1)
NJ
Taxonomy (1)
Dentist · 122300000X · Primary
License Number (2)
058823-1
License State (2)
NY
Taxonomy (2)
Dentist · 122300000X
License Number (3)
DEN.00203003
License State (3)
CO
Taxonomy (3)
Dentist · 122300000X
License Number (4)
040145409
License State (4)
VA
Taxonomy (4)
Dentist · 122300000X

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 Andrawis, DMD?

The NPI number of Dr. Mark S Andrawis, DMD is 1629434410. It was assigned on January 8, 2016 and is currently active in the NPPES registry.

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

Dr. Mark S Andrawis, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in NJ under license number 22DI02556300.

Where does Dr. Mark S Andrawis, DMD practice?

The practice location is 5 Becker Farm RD, Suite 101, Roseland, NJ 07068-1741. The office can be reached at 973-974-9490 (phone) or 973-974-9491 (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 1629434410 directly on the NPPES registry website.

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