National Provider Identifier
Mark Powalski, DDS
Mark Powalski, DDS is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Depew, NY and a listed phone number of (716) 683-7443.
Profile Overview
- NPI
- 1477960425
- Provider Type
- Individual
- Primary Specialty
- General Practice Dentistry
- Enumeration Date
- July 22, 2014
- Last Updated
- July 22, 2014
Practice Location
- 2197 George Urban Blvd
- Depew, NY 14043-1960
Phone: (716) 683-7443
Specialties
- General Practice Dentistry (1223G0001X)
Full Record
- NPI
- 1477960425
- Entity Type
- Individual
- Last Name
- Powalski
- First Name
- Mark
- Credential
- DDS
- Mailing Street Address
- 2197 George Urban Blvd
- Mailing City
- Depew
- Mailing State
- NY
- Mailing ZIP Code
- 14043-1960
- Mailing Country
- US
- Practice Street Address
- 2197 George Urban Blvd
- Practice City
- Depew
- Practice State
- NY
- Practice ZIP Code
- 14043-1960
- Practice Country
- US
- Practice Phone
- (716) 683-7443
- Practice Fax
- (716) 684-3597
- Enumeration Date
- July 22, 2014
- Last Updated
- July 22, 2014
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- General Practice Dentistry (1223G0001X)