National Provider Identifier
Mark L Twichell, DDS
Mark L Twichell, DDS is listed in the NPPES registry with a primary specialty of Pediatric Dentistry in Fredonia, NY and a listed phone number of (716) 672-2854.
Profile Overview
- NPI
- 1669410015
- Provider Type
- Individual
- Primary Specialty
- Pediatric Dentistry
- Enumeration Date
- June 04, 2006
- Last Updated
- November 27, 2012
Practice Location
- 85 West Main St
- Fredonia, NY 14063
Phone: (716) 672-2854
Specialties
- Pediatric Dentistry (1223P0221X)
Full Record
- NPI
- 1669410015
- Entity Type
- Individual
- Last Name
- Twichell
- First Name
- Mark
- Middle Name
- L
- Name Prefix
- Dr.
- Credential
- DDS
- Mailing Street Address
- 85 West Main St
- Mailing City
- Fredonia
- Mailing State
- NY
- Mailing ZIP Code
- 14063
- Mailing Country
- US
- Mailing Phone
- (716) 672-2854
- Mailing Fax
- (716) 672-5269
- Practice Street Address
- 85 West Main St
- Practice City
- Fredonia
- Practice State
- NY
- Practice ZIP Code
- 14063
- Practice Country
- US
- Practice Phone
- (716) 672-2854
- Practice Fax
- (716) 672-5269
- Enumeration Date
- June 04, 2006
- Last Updated
- November 27, 2012
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatric Dentistry (1223P0221X)
- Other Identifiers
- 01049536 (NY)