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

DR. MARK ANTHONY BOLDT, DDS

Active Sole Proprietor

DR. MARK ANTHONY BOLDT, DDS is a Pediatric Dentistry healthcare provider located in WEST ALLIS, Wisconsin. NPI 1831291996 is currently active in the NPPES registry. Verify at CMS.

Pediatric Dentistry · WEST ALLIS, WI

Registration Details

NPI Number
1831291996
Provider Type
Individual
Gender
Male
NPI Issued
Sep 1, 2006 (19.960883885459 yrs)
Last Updated
Feb 10, 2017
License
4290-015 (WI)
Sole Proprietor
Yes

Practice Information

Address
2323 S. 109TH STREET
SUITE 295
WEST ALLIS, WI, 53227
Browse WI providers · Browse ZIP 53227
Phone
4145455225
Fax
4145455251
Primary Specialty
Pediatric Dentistry
1223P0700X

Other Pediatric Dentistry Providers in WEST ALLIS, WI

Name Credential NPI
DR. BARRY R. FRANZEN D.D.S. 1225077910
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.