Individual provider · Type 1 NPI
Mark Arthur Dettelbach, MD
Plastic Surgery within the Head & Neck (Otolaryngology) Physician · Chevy Chase, MD
Practice location
5454 Wisconsin Ave, Suite 1535
Chevy Chase, MD 20815-6901
Fax (301) 652-8320
Mailing address
6201 Greenleigh Ave
Middle River, MD 21220-2004
Other practice locations
- 1800 Orleans St, Baltimore, MD 21287-0010 · (410) 502-2037
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist | 174400000X | D47278 (MD) |
| Plastic Surgery within the Head & Neck (Otolaryngology) Physician Primary | 207YX0007X | MD21258 (DC) |
Plastic Surgery within the Head & Neck (Otolaryngology) Physician: An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeri…
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About NPI 1467425546
Mark Arthur Dettelbach, MD's National Provider Identifier is 1467425546, issued on Feb 9, 2006. The primary taxonomy on file is Plastic Surgery within the Head & Neck (Otolaryngology) Physician (207YX0007X), and the practice location is in Chevy Chase, MD. The record was last updated on Jun 26, 2025.