National Provider Identifier

Mark Ward Bain, D.D.S.

Mark Ward Bain, D.D.S. is listed in the NPPES registry with a primary specialty of Oral and Maxillofacial Surgery (Dentist) in Depew, NY and a listed phone number of (716) 685-4020.

NPI 1104921485Depew, NYOral and Maxillofacial Surgery (Dentist)

Profile Overview

NPI
1104921485
Provider Type
Individual
Primary Specialty
Oral and Maxillofacial Surgery (Dentist)
Enumeration Date
September 13, 2006
Last Updated
July 08, 2007

Practice Location

  • 26 Columbia Ave
  • Depew, NY 14043-2309

Phone: (716) 685-4020

Specialties

  • Oral and Maxillofacial Surgery (Dentist) (1223S0112X)
Full Record
NPI
1104921485
Entity Type
Individual
Last Name
Bain
First Name
Mark
Middle Name
Ward
Name Prefix
Dr.
Credential
D.D.S.
Mailing Street Address
26 Columbia Ave
Mailing City
Depew
Mailing State
NY
Mailing ZIP Code
14043-2309
Mailing Country
US
Mailing Phone
(716) 685-4020
Mailing Fax
(716) 685-4021
Practice Street Address
26 Columbia Ave
Practice City
Depew
Practice State
NY
Practice ZIP Code
14043-2309
Practice Country
US
Practice Phone
(716) 685-4020
Practice Fax
(716) 685-4021
Enumeration Date
September 13, 2006
Last Updated
July 08, 2007
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Oral and Maxillofacial Surgery (Dentist) (1223S0112X)