Individual provider · Type 1 NPI

Mark Ward Bain, DDS

Oral and Maxillofacial Surgery (Dentist) · Depew, NY

NPI number 1104921485 Active

Practice location

26 Columbia Ave
Depew, NY 14043-2309

Fax (716) 685-4021

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X029474 (NY)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1104921485

Mark Ward Bain, DDS's National Provider Identifier is 1104921485, issued on Sep 13, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Depew, NY. The record was last updated on Jul 8, 2007.