DR. CONNIE WANG MARCUSA DDS NPI 1477077139

NPI Information

NPI: 1477077139
Provider Name: DR. CONNIE WANG MARCUSA, DDS
Classification: Dentist - 1223P0700X
Entity Type: Individual

Specialization: Prosthodontics

Address:
400 CROWN COLONY DR
QUINCY, MA
ZIP 02169
Phone: (617) 706-9003
Get Directions

DR. Connie Wang Marcusa, DDS is a prosthodontics dentist in Quincy, MA. The provider is that branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. DR. Connie Wang Marcusa, DDS NPI is 1477077139. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

400 CROWN COLONY DR
QUINCY, MA
ZIP 02169-930
Phone: (617) 706-9003

The enumeration date for this NPI number is 8/2/2017 and was last updated on 8/26/2022.

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
1	122300000X	Dentist		2901022417	MICHIGAN	No
2	1223P0700X	Dentist	Prosthodontics	DN1858617	MASSACHUSETTS	Yes

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: 4/28/2024

NPI Synchronization or Removal

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