National Provider Identifier

Mark Vincent Dimartino, DDS

Mark Vincent Dimartino, DDS is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Farmington, NY and a listed phone number of (585) 924-2160.

NPI 1134138159Farmington, NYGeneral Practice Dentistry

Profile Overview

NPI
1134138159
Provider Type
Individual
Primary Specialty
General Practice Dentistry
Enumeration Date
August 07, 2006
Last Updated
September 16, 2020

Practice Location

  • 1375 Hathaway Dr
  • Farmington, NY 14425-8804

Phone: (585) 924-2160

Specialties

  • General Practice Dentistry (1223G0001X)
  • Durable Medical Equipment & Medical Supplies (332B00000X)
Full Record
NPI
1134138159
Entity Type
Individual
Last Name
Dimartino
First Name
Mark
Middle Name
Vincent
Name Prefix
Dr.
Credential
DDS
Mailing Street Address
1375 Hathaway Dr
Mailing City
Farmington
Mailing State
NY
Mailing ZIP Code
14425-8804
Mailing Country
US
Mailing Phone
(585) 924-2160
Mailing Fax
(585) 924-1875
Practice Street Address
1375 Hathaway Dr
Practice City
Farmington
Practice State
NY
Practice ZIP Code
14425-8804
Practice Country
US
Practice Phone
(585) 924-2160
Practice Fax
(585) 924-1875
Enumeration Date
August 07, 2006
Last Updated
September 16, 2020
Sex
Male
Sole Proprietor
Yes
Certification Date
September 16, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
General Practice Dentistry (1223G0001X), Durable Medical Equipment & Medical Supplies (332B00000X)