Dewaele, Mark Steven
Dewaele, Mark Steven is an individual health care provider with primary practice located at 208 South Ave , New Canaan CT 06840. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Dewaele, Mark Steven can be contacted via phone (203) 966-5944.Contact Information
Primary practice address
208 South Ave
New Canaan CT 06840
Phone: (203) 966-5944
Fax: (203) 966-9154
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 6671 | Connecticut |
Profile Details
| NPI number | 1457687170 |
|---|---|
| LBN Legal business name | Dewaele, Mark Steven |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 30th, 2009 |
| Last updated | Oct 30th, 2009 - about 15 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.
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