National Provider Identifier Database

MARK S DEWAELE, DMD – NPI #1457687170
General Practice

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.


Contact Information

MARK S DEWAELE, DMD
208 SOUTH AVE
NEW CANAAN, CT06840
Phone: 203-966-5944
Fax: 203-966-9154
Website:
Specialty Taxonomy Code
* General Practice 1223G0001X

* Indicates primary specialty

NPI Profile & details for MARK S DEWAELE

NPI Number 1457687170
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 10/30/2009
Last updated 10/30/2009 - About 17 years ago
Sole proprietor1 No
Identifiers
  • CT License #: 6671
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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