Mark N. Waters, D.D.S, P.C.

LBN: Mark N. Waters, D.D.S, P.C.
Mark N. Waters, D.D.S, P.C. is an health care organization with primary practice located at 116 W 21St St , Clovis NM 88101-4364. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Mark N. Waters, D.D.S, P.C. can be contacted via phone (575) 763-7632, or through Waters, Mark Newton via phone (575) 763-7632.

Contact Information

Primary practice address
116 W 21St St Clovis NM 88101-4364
Phone: (575) 763-7632
Fax: (575) 762-4226
Website:
Map and Directions
Authorized official contact:
Name: Waters, Mark Newton Doctor of Dental Surgery (DDS)
Phone: (575) 763-7632

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DD1426 New Mexico

Profile Details

NPI number 1023472313
LBN Legal business name Mark N. Waters, D.D.S, P.C.
DBA Doing business as
Authorized official Waters, Mark Newton Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 12th, 2016
Last updated Apr 12th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023472313 NPPES
Pennsylvania Other 794219 UNITED CORCORDIA
Pennsylvania MEDICAID 69880832 UNITED CORCORDIA

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