St Mark Dental Pc in Medway - General Practice
St Mark Dental Pc - NPI 1659390862
St Mark Dental Pc is a General Practice in Medway, Massachusetts. St Mark Dental Pc practices all healthcare services and medical treatments related to General Practice. The NPI Number for St Mark Dental Pc is 1659390862. The last update date is 2015-03-24.
St Mark Dental Pc's current location address is 113 Main St, Medway, Massachusetts. You can contact this provider via phone number 5085337890 and fax number 5085337890. The mailing address for St Mark Dental Pc is 113 Main St, Medway, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | St Mark Dental Pc |
|---|---|
| Address | 113 Main St, Medway, Massachusetts |
| Phone Number | 5085337890 |
| Fax Number | 5085337890 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Bakhit Tadros Evebakhit |
| Credentials | DMD |
| Telephone Number | 5085337890 |
NPI Number Detail
| NPI Number | 1659390862 |
|---|---|
| Provider Enumeration Date | 2006-07-19 |
| Last Updated Date | 2015-03-24 |
Provider Mailing Address Detail
| Address | 113 Main St |
|---|---|
| City | Medway |
| State | Massachusetts (MA) |
| Post Code | 20531802 |
| Phone Number | 5085337890 |
| Fax Number | 5085337890 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 17758 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 273201 | MA | -- |
Post Comment/ Review Below
What is the St Mark Dental Pc's unique identification number?
The St Mark Dental Pc has been assigned the NPI (National Provider Identifier) Number 1659390862 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of St Mark Dental Pc?
The St Mark Dental Pc is physically situated at 113 Main St, in the city of Medway, state of MA, with the postal code 20531802.
What is St Mark Dental Pc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for St Mark Dental Pc is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.
On what date did the St Mark Dental Pc receive the assignment of its 1659390862 from the Centers for Medicare & Medicaid Services?
The St Mark Dental Pc was issued its 1659390862 by the Centers for Medicare & Medicaid Services on 2006-07-19.
When was the information regarding St Mark Dental Pc most recently updated?
The details pertaining to the St Mark Dental Pc, including its address, specialty, and other relevant information, were last refreshed on 2015-03-24.