Mark D. Medaugh, D.M.D., P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MARK D. MEDAUGH, D.M.D., P.C.

Practice address

20 George Hannum Rd
Belchertown, MA 01007-8915

Phone

(413) 323-4335

Fax

(413) 323-7253

NPI assigned

Sep 4, 2007

Organization subpart

No

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

Authorized official

Name

Mark David Medaugh, D.M.DNPI 1104930254

Title

President

Phone

(413) 323-4335

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Mark David Medaugh, DMD

  • General Practice Dentistry
  • Belchertown, MA
  • NPI 1104930254
  NPD (past) Authorized official

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

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484006400000",
    "number": "1790979664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 GEORGE HANNUM RD",
            "address_2": "PO BOX 1310",
            "city": "BELCHERTOWN",
            "state": "MA",
            "postal_code": "010078915",
            "telephone_number": "413-323-4335",
            "fax_number": "413-323-7253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 GEORGE HANNUM RD",
            "city": "BELCHERTOWN",
            "state": "MA",
            "postal_code": "010078915",
            "telephone_number": "413-323-4335",
            "fax_number": "413-323-7253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK D. MEDAUGH, D.M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-04",
        "last_updated": "2017-01-10",
        "status": "A",
        "authorized_official_last_name": "MEDAUGH",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "413-323-4335",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joan Long
• Mario Lysse, MD
• Christen Macintyre, DMD
• Mag Home Care, LLC
• Sarah A Marcotte, LICSW
• Jonathan G Martins, DPT
• Cecilia Thoni Mathewson, IBCLC
• Jodi McClurg
• Robert Keith McCormick, DC
• Jennifer McMartin

• General Practice Dentistry in Belchertown, MA
• Providers in Belchertown, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2017; 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.