Provider Demographics
NPI:1871981126
Name:MARK M. MESZAROS, D.D.S.,P.C.
Entity type:Organization
Organization Name:MARK M. MESZAROS, D.D.S.,P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:MESZAROS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:978-537-8170
Mailing Address - Street 1:1343 CENTRAL ST
Mailing Address - Street 2:
Mailing Address - City:LEOMINSTER
Mailing Address - State:MA
Mailing Address - Zip Code:01453-5907
Mailing Address - Country:US
Mailing Address - Phone:978-537-8170
Mailing Address - Fax:978-840-1447
Practice Address - Street 1:1343 CENTRAL ST
Practice Address - Street 2:
Practice Address - City:LEOMINSTER
Practice Address - State:MA
Practice Address - Zip Code:01453-5907
Practice Address - Country:US
Practice Address - Phone:978-537-8170
Practice Address - Fax:978-840-1447
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-08
Last Update Date:2015-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty