DR. MARK THOMAS DAMERAU DMD
NPI 1053433201
Dentist in Palm Beach Gardens, FL

Q: What is Mark Damerau's NPI number?

The NPI number for Mark Damerau is 1053433201. It was assigned to this individual provider in the NPPES registry on April 6, 2007.

Q: What is Mark Damerau's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Mark Damerau was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 06, 2007CLIA 10D2216825 · Waiver

400 VILLAGE SQUARE CROSSING, PALM BEACH GARDENS, FL 33410(561) 622-8988(561) 627-0778 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Mark Thomas Damerau Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARK THOMAS DAMERAU DMD (NPI 1053433201) is an individual dentist in Palm Beach Gardens, Florida, licensed in Florida (11954) and active in the NPI registry since April 2007. He holds a CLIA Waiver certificate valid through March 15, 2027.

NPPES Registry Identity

NPI1053433201

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. MARK THOMAS DAMERAUCredential: DMD

Location Address400 VILLAGE SQUARE CROSSINGPalm Beach Gardens, FL 33410-3220

Mailing Address400 Village Square CrossingPalm Beach Gardens, FL 33410-3220 · (561) 622-8988 · Fax (561) 627-0778

Phone(561) 622-8988

Fax(561) 627-0778

Sole ProprietorNo

Enumeration DateApril 6, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1053433201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in FL · 11954

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

400 VILLAGE SQUARE CROSSING, Palm Beach Gardens, FL 33410

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Other Identifiers 1

Medicare UPIN7600

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2216825

Mark T Damerau Dmd PA · Palm Beach Gardens, FL

Active · expires Mar 15, 2027

CLIA Number10D2216825

Laboratory TypeDental Office

Certificate Effective DateMarch 16, 2025

Certificate Expiration DateMarch 15, 2027

Laboratory DirectorMark T. Damerau

Laboratory Phone(561) 622-8988

Laboratory LocationMark T Damerau Dmd PA400 Village Sq Crossing - Ste 1, Palm Beach Gardens, FL 33410

CLIA data matches this NPI record on: Phone

This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Damerau's NPI number?

The NPI number for Mark Damerau is 1053433201. It was assigned to this individual provider in the NPPES registry on April 6, 2007.

Where is Mark Damerau located?

Mark Damerau practices at 400 Village Square Crossing, Palm Beach Gardens, FL 33410. The listed phone number is (561) 622-8988.

What is Mark Damerau's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Does Mark Damerau hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2216825) is associated with this NPI, valid through March 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mark Damerau was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.