Mark Laurence Bailen in East Walpole - Dentist
Mark Laurence Bailen - NPI 1710104773
Mark Laurence Bailen is a Dentist in East Walpole, Massachusetts. Mark Laurence Bailen practices all healthcare services and medical treatments related to Dentist. The NPI Number for Mark Laurence Bailen is 1710104773. The last update date is 2007-07-08.
Mark Laurence Bailen's current location address is 90 Providence Hwy, East Walpole, Massachusetts. You can contact this provider via phone number 5086681151 and fax number 5086680640. The mailing address for Mark Laurence Bailen is 90 Providence Hwy, East Walpole, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Laurence Bailen |
|---|---|
| Address | 90 Providence Hwy, East Walpole, Massachusetts |
| Phone Number | 5086681151 |
| Fax Number | 5086680640 |
| Sole Proprietor | N |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1710104773 |
|---|---|
| Provider Enumeration Date | 2007-04-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 90 Providence Hwy |
|---|---|
| City | East Walpole |
| State | Massachusetts (MA) |
| Post Code | 20321524 |
| Phone Number | 5086681151 |
| Fax Number | 5086680640 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 17548 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the Mark Laurence Bailen's 1710104773?
The Mark Laurence Bailen's NPI (National Provider Identifier) Number is 1710104773. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Mark Laurence Bailen's facilities are geographically located?
The facilities of Mark Laurence Bailen are physically situated at the following location: 90 Providence Hwy, East Walpole, MA, 20321524.
What is Mark Laurence Bailen's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mark Laurence Bailen's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1710104773 to Mark Laurence Bailen?
The Centers for Medicare & Medicaid Services originally issued the 1710104773 to Mark Laurence Bailen on 2007-04-19.
As of what date were the details related to Mark Laurence Bailen most recently updated or revised?
The information pertaining to Mark Laurence Bailen, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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