Organization Active NPI

Mark Wieczorek, DMD, PC

  • General Practice Dentistry
  • Bear, DE
National Provider Identifier
1093570558
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MARK WIECZOREK, DMD, PC
Practice address
494 Bear Christiana Rd
Bear, DE 19701-1039
Phone
(302) 838-3384
Fax
(302) 838-3381
NPI assigned
Feb 14, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Mark WieczorekNPI 1801929294
Title
Owner
Phone
(302) 838-3384

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

494 Bear Christiana Rd
Bear, DE 19701-1039

Mailing address

494 Bear Christiana Rd
Bear, DE 19701-1039
Phone (302) 838-3384

Other names 1

  • Newtown Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

494 Bear Christiana Rd
Bear, DE 19701
Phone (302) 838-3384

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1707868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709164800000",
    "number": "1093570558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "494 BEAR CHRISTIANA RD",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197011039",
            "telephone_number": "302-838-3384",
            "fax_number": "302-838-3381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "494 BEAR CHRISTIANA RD",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197011039",
            "telephone_number": "302-838-3384",
            "fax_number": "302-838-3381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK WIECZOREK, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-14",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A",
        "authorized_official_last_name": "WIECZOREK",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-838-3384",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Newtown Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bear, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.