Individual provider · Type 1 NPI

Mark Pethick, DMD

General Practice Dentistry · New Haven, CT

NPI number 1205850377 Active

Practice location

532 Chapel St
New Haven, CT 06511-6905

Fax (203) 865-2622

Mailing address

11 Laydon Ave
North Haven, CT 06473-2705

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X8311 (CT)

General Practice Dentistry: 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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About NPI 1205850377

Mark Pethick, DMD's National Provider Identifier is 1205850377, issued on Jul 26, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in New Haven, CT. The record was last updated on Jul 8, 2007.