Active NPIIndividual providerSole proprietor

Mark Conlon, DMD

Dentist, General Practice in Trumbull, Connecticut

NPI Number1972656114
Practice location
160 Hawley Ln, Suite 101, Trumbull, CT 06611-5300
Fax
203-377-7471
Last updated
July 8, 2007

Mark Conlon is a Dentist, General Practice based in Trumbull, CT. Mark Conlon practices in Trumbull, CT and has the professional credentials of DMD. The NPI Number for Mark Conlon is 1972656114 and holds a License No. 4975 (CT). The current practice location address for Mark Conlon is 160 Hawley Ln, Suite 101, Trumbull, CT 06611-5300 and can be reached out via phone at 203-377-0638 and via fax at 203-377-7471.

Provider Profile Details

NPI Number
1972656114
Provider Name
Mark Conlon
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
160 Hawley Ln, Suite 101, Trumbull, CT 06611-5300
Phone Number
203-377-0638
Fax Number
203-377-7471
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
January 19, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
160 Hawley Ln
Suite 101
Trumbull, CT 06611-5300
Zip
06611-5300
Phone Number
203-377-0638
Fax Number
203-377-7471
Trumbull, CT 06611Get directions →

Provider Business Mailing Address Details

Address
160 Hawley Ln
Suite 101
Trumbull, CT 06611-5300
City
Trumbull
State
CT
Zip
06611-5300
Phone Number
203-377-0638
Fax Number
203-377-7471

License Information

License Number
4975
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 Mark Conlon, DMD?

The NPI number of Mark Conlon, DMD is 1972656114. It was assigned on January 19, 2007 and is currently active in the NPPES registry.

What is the specialty of Mark Conlon, DMD?

Mark Conlon, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in CT under license number 4975.

Where does Mark Conlon, DMD practice?

The practice location is 160 Hawley Ln, Suite 101, Trumbull, CT 06611-5300. The office can be reached at 203-377-0638 (phone) or 203-377-7471 (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 1972656114 directly on the NPPES registry website.

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