Mark Anthony Wieczorek in Glen Mills - Dentist

Mark Anthony Wieczorek - NPI 1801929294

Mark Anthony Wieczorek is a Dentist in Glen Mills, Pennsylvania. Mark Anthony Wieczorek practices all healthcare services and medical treatments related to Dentist. The NPI Number for Mark Anthony Wieczorek is 1801929294. The last update date is 2007-07-08.

Mark Anthony Wieczorek's current location address is 1788 Wilmington Pike, Glen Mills, Pennsylvania. You can contact this provider via phone number 6103619768 and fax number 6103619766. The mailing address for Mark Anthony Wieczorek is 1788 Wilmington Pike, Glen Mills, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark Anthony Wieczorek
Address 1788 Wilmington Pike, Glen Mills, Pennsylvania
Phone Number 6103619768
Fax Number 6103619766
Sole Proprietor Y
Credentials D.M.D.

NPI Number Detail

NPI Number 1801929294
Provider Enumeration Date 2007-03-14
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1788 Wilmington Pike
City Glen Mills
State Pennsylvania (PA)
Post Code 193428171
Phone Number 6103619768
Fax Number 6103619766

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No DS-030059-L
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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FAQs about Mark Anthony Wieczorek

What is the unique 10-digit identifier code issued to Mark Anthony Wieczorek by the Centers for Medicare & Medicaid Services?

The Mark Anthony Wieczorek has been assigned the NPI (National Provider Identifier) 1801929294 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Mark Anthony Wieczorek is located?

The Mark Anthony Wieczorek is situated at the following address: 1788 Wilmington Pike, Glen Mills, PA, 193428171.

What is Mark Anthony Wieczorek's specialized field of practice, and what is the corresponding taxonomy classification code?

The Mark Anthony Wieczorek's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.

On what date did the Mark Anthony Wieczorek receive its 1801929294 assignment from the Centers for Medicare & Medicaid Services?

The Mark Anthony Wieczorek was assigned its 1801929294 by the Centers for Medicare & Medicaid Services on 2007-03-14.

When was the Mark Anthony Wieczorek's information last updated?

The Mark Anthony Wieczorek's information was last updated on 2007-07-08.

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