Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK LAURENCE BAILEN, D.M.D.
ActiveDR. MARK LAURENCE BAILEN, D.M.D. is a Dentist healthcare provider located in EAST WALPOLE, Massachusetts. NPI 1710104773 is currently active in the NPPES registry. Verify at CMS.
Dentist · EAST WALPOLE, MA
Registration Details
- NPI Number
- 1710104773
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 19, 2007 (19.135739904371 yrs)
- Last Updated
- Jul 8, 2007
- License
-
17548 (MA)
Practice Information
- Address
-
90 PROVIDENCE HWYWALPOLE MALLEAST WALPOLE, MA, 020321524Browse MA providers · Browse ZIP 02032
- Phone
- 5086681151
- Fax
- 5086680640
- Primary Specialty
-
Dentist
122300000X
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.