Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK WIATT, DDS
ActiveMARK WIATT, DDS is a Dentist healthcare provider located in T OR C, New Mexico. NPI 1801889209 is currently active in the NPPES registry. Verify at CMS.
Dentist · T OR C, NM
Registration Details
- NPI Number
- 1801889209
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 31, 2005 (20.779040592408 yrs)
- Last Updated
- Dec 18, 2007
- License
-
DD-2602 (NM)
Practice Information
- Address
-
1960 N DATE STT OR C, NM, 879013701Browse NM providers · Browse ZIP 87901
- Phone
- 5052673088
- Fax
- 5052671747
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in T OR C, NM
| Name | Credential | NPI |
|---|---|---|
| LEROY BACA | DDS | 1154314177 |
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.