Active NPIIndividual provider

Mr. Mark G Kacerik, RDH

Dental Hygienist in West Haven, Connecticut

NPI Number1790967784
Practice location
419 Boston Post Road, West Haven, CT 06516
Fax
203-931-6083
Last updated
November 30, 2007

Mark G Kacerik is a Dental Hygienist based in West Haven, CT. Mark G Kacerik practices in West Haven, CT and has the professional credentials of RDH. The NPI Number for Mark G Kacerik is 1790967784 and holds a License No. 004980 (CT). The current practice location address for Mark G Kacerik is 419 Boston Post Road, West Haven, CT 06516 and can be reached out via phone at 203-931-6029 and via fax at 203-931-6083.

Provider Profile Details

NPI Number
1790967784
Provider Name
Mark G Kacerik
Credential
RDH
Provider Entity Type
Individual
Gender
Male
Address
419 Boston Post Road, West Haven, CT 06516
Phone Number
203-931-6029
Fax Number
203-931-6083
Primary Taxonomy
Dental Hygienist · 124Q00000X
Sole Proprietor
No
Provider Enumeration Date
November 30, 2007
Last Update Date
November 30, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
419 Boston Post Road
West Haven, CT 06516
Zip
06516
Phone Number
203-931-6029
Fax Number
203-931-6083
West Haven, CT 06516Get directions →

Provider Business Mailing Address Details

Address
419 Boston Post Road
West Haven, CT 06516
City
West Haven
State
CT
Zip
06516
Phone Number
203-931-6029
Fax Number
203-931-6083

License Information

License Number
004980
License State
CT
Taxonomy
Dental Hygienist · 124Q00000X · 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 Mr. Mark G Kacerik, RDH?

The NPI number of Mr. Mark G Kacerik, RDH is 1790967784. It was assigned on November 30, 2007 and is currently active in the NPPES registry.

What is the specialty of Mr. Mark G Kacerik, RDH?

Mr. Mark G Kacerik, RDH is registered under the primary taxonomy Dental Hygienist (code 124Q00000X), licensed in CT under license number 004980.

Where does Mr. Mark G Kacerik, RDH practice?

The practice location is 419 Boston Post Road, West Haven, CT 06516. The office can be reached at 203-931-6029 (phone) or 203-931-6083 (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 1790967784 directly on the NPPES registry website.

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