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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MARK WINSTON BRAITHWAITE, D.D.S., M.A.

Active

DR. MARK WINSTON BRAITHWAITE, D.D.S., M.A. is a Periodontology healthcare provider located in WEST HAVEN, Connecticut. NPI 1326135880 is currently active in the NPPES registry. Verify at CMS.

Periodontology · WEST HAVEN, CT

Registration Details

NPI Number
1326135880
Provider Type
Individual
Gender
Male
NPI Issued
Oct 6, 2006 (19.867546067672 yrs)
Last Updated
Jul 8, 2007
License
19024487 (IL)

Practice Information

Address
950 CAMPBELL AVE
VA CONNECTICUT HEALTHCARE SYSTEM, DENTAL SERVICE 160
WEST HAVEN, CT, 065162770
Browse CT providers · Browse ZIP 06516
Phone
2039325711
Fax
2039374895
Primary Specialty
Periodontology
1223P0300X

Other Periodontology Providers in WEST HAVEN, CT

Name Credential NPI
DR. JOHN E.A. POWE DDS 1699093351
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.