DR. MARK STEVEN DEWAELE DMD NPI 1457687170

NPI Information

  • NPI: 1457687170
  • Provider Name: DR. MARK STEVEN DEWAELE, DMD
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • Address: 208 SOUTH AVE
    NEW CANAAN, CT
    ZIP 06840
  • Phone: (203) 966-5944

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NPI Details

DR. Mark Steven Dewaele, DMD is a general practice dentist in New Canaan, CT. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. Mark Steven Dewaele, DMD NPI is 1457687170. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

208 SOUTH AVE
NEW CANAAN, CT
ZIP 06840
Phone: (203) 966-5944
Fax: (203) 966-9154

The enumeration date for this NPI number is 10/30/2009 and was last updated on 10/30/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice6671CONNECTICUTYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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