Braithwaite, Mark Winston

Braithwaite, Mark Winston is an individual health care provider with primary practice located at 950 Campbell Ave Va Connecticut Healthcare System, Dental Service 160, West Haven CT 06516-2770. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Braithwaite, Mark Winston can be contacted via phone (203) 932-5711.

Contact Information

Primary practice address
950 Campbell Ave Va Connecticut Healthcare System, Dental Service 160 West Haven CT 06516-2770
Phone: (203) 932-5711
Fax: (203) 937-4895
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 19024487 Illinois

Profile Details

NPI number 1326135880
LBN Legal business name Braithwaite, Mark Winston
Credentials D.D.S., M.A.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers