Mark A Letter, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3865 Issued in WI

Practice address

1112 Lincoln Street
Kewaunee, WI 54216

Phone

(920) 388-5200

Fax

(920) 388-5202

NPI assigned

Oct 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mark a Letter DDS SC

  • General Practice Dentistry
  • Kewaunee, WI
  • NPI 1184718231
  NPD (past) Authorized official

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528153616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 198",
            "address_2": "1112 LINCOLN STREET",
            "city": "KEWAUNEE",
            "state": "WI",
            "postal_code": "542160198",
            "telephone_number": "920-388-5200",
            "fax_number": "920-388-5202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 LINCOLN STREET",
            "city": "KEWAUNEE",
            "state": "WI",
            "postal_code": "54216",
            "telephone_number": "920-388-5200",
            "fax_number": "920-388-5202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LETTER",
        "first_name": "MARK",
        "middle_name": "A",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "3865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lakeshore Vision Centers LTD
• Robin Lambrecht, LPC
• Shanna Larochelle
• Carol Jean Lenius, ECEEN BS EDUCATION
• Shawn R Leonardson, BS
• Beth Mackintosh
• Lauren E Manston, MASTER DEGREE
• Mark a Letter DDS SC
• Mercedes Marie Marrero
• Stephen Lee McClellan, M.D.

• General Practice Dentistry in Kewaunee, WI
• Providers in Kewaunee, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.