Mark Allan Bieszki, D.D.S., M.S.
Individual provider Active NPI Orthodontics and Dentofacial Orthopedics Dentistry · Macomb, MI
NPI 1447378922 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1447378922
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
- License
- 2901018377 (MI)
- Practice address
- 48801 Romeo Plank Rd.
Suite 105
Macomb, MI 48044 - Phone
- (586) 226-2722
- NPI assigned
- Mar 26, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2901018377 | MI | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 2901018377 | MI | Yes |
Addresses
Primary practice location
48801 Romeo Plank Rd.
Suite 105
Macomb, MI 48044
Mailing address
45474 Limerick Dr
Macomb, MI 48044-6334
Phone (586) 226-2722
Other providers in Macomb, MI
- James Michael Bellini
- Pavel Bence
- Bruce J Benderoff
- Whitney Berenter
- Sharon Bialas
- Stephanie Billardello
- Cristina Enza Billiau
- Kevin Binsell
- Bio-Medical Applications of Michigan, Inc.
- Glenda Bjornson
All providers in Macomb, MI · Orthodontics and Dentofacial Orthopedics Dentistry in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.