Active NPIIndividual provider

Dr. Mark L Bailen, DMD

Dentist in East Walpole, Massachusetts

NPI Number1710104773
Practice location
90 Providence Hwy, Walpole Mall, East Walpole, MA 02032-1524
Fax
508-668-0640
Last updated
July 8, 2007

Mark Laurence Bailen is a Dentist based in East Walpole, MA. Mark Laurence Bailen practices in East Walpole, MA and has the professional credentials of DMD. The NPI Number for Mark Laurence Bailen is 1710104773 and holds a License No. 17548 (MA). The current practice location address for Mark Laurence Bailen is 90 Providence Hwy, Walpole Mall, East Walpole, MA 02032-1524 and can be reached out via phone at 508-668-1151 and via fax at 508-668-0640.

Provider Profile Details

NPI Number
1710104773
Provider Name
Mark Laurence Bailen
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
90 Providence Hwy, Walpole Mall, East Walpole, MA 02032-1524
Phone Number
508-668-1151
Fax Number
508-668-0640
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
No
Provider Enumeration Date
April 19, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
90 Providence Hwy
Walpole Mall
East Walpole, MA 02032-1524
Zip
02032-1524
Phone Number
508-668-1151
Fax Number
508-668-0640
East Walpole, MA 02032Get directions →

Provider Business Mailing Address Details

Address
74 Billings St
Sharon, MA 02067-2140
City
Sharon
State
MA
Zip
02067-2140

License Information

License Number
17548
License State
MA
Taxonomy
Dentist · 122300000X · 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 L Bailen, DMD?

The NPI number of Dr. Mark L Bailen, DMD is 1710104773. It was assigned on April 19, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Mark L Bailen, DMD?

Dr. Mark L Bailen, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in MA under license number 17548.

Where does Dr. Mark L Bailen, DMD practice?

The practice location is 90 Providence Hwy, Walpole Mall, East Walpole, MA 02032-1524. The office can be reached at 508-668-1151 (phone) or 508-668-0640 (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 1710104773 directly on the NPPES registry website.

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