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DR. MARK PETHICK DMD
NPI 1205850377
Dentist - General Practice in New Haven, CT

Active since July 26, 2006
532 CHAPEL ST, NEW HAVEN, CT 06511(203) 865-4286(203) 865-2622 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mark Pethick Dmd NPPES

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

DR. MARK PETHICK DMD (NPI 1205850377) is an individual general practice provider in New Haven, Connecticut, licensed in Connecticut (8311) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1205850377
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MARK PETHICKCredential: DMD
Location Address532 CHAPEL STNew Haven, CT 06511-6905
Mailing Address11 Laydon AveNorth Haven, CT 06473-2705 · (203) 234-7996
Phone(203) 865-4286
Fax(203) 865-2622
Sole ProprietorYes
Enumeration DateJuly 26, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1205850377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CT · 8311
Definition
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.
532 CHAPEL ST, New Haven, CT 06511
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JOSEPH D'ASCANIO MD
Dentist (General Practice)
532 CHAPEL ST
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 865-4286

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 Pethick's NPI number?

The NPI number for Mark Pethick is 1205850377. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Where is Mark Pethick located?

Mark Pethick practices at 532 Chapel St, New Haven, CT 06511. The listed phone number is (203) 865-4286.

What is Mark Pethick's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Mark Pethick 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.