Mark T Damerau

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

MARK T DAMERAU

Practice address

400 Village Square Xing Ste 1
Palm Beach Gardens, FL 33410-3220

Phone

(561) 622-8988

NPI assigned

Feb 13, 2019

Organization subpart

No

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

Authorized official

Name

Mark T Damerau, DMD

Title

Owner

Phone

(561) 622-8988

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1550016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550016000000",
    "number": "1871059907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 VILLAGE SQUARE XING STE 1",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103220",
            "telephone_number": "561-622-8988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 VILLAGE SQUARE XING STE 1",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103220",
            "telephone_number": "561-622-8988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK T DAMERAU",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-13",
        "last_updated": "2019-02-13",
        "status": "A",
        "authorized_official_last_name": "DAMERAU",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-622-8988",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joan Leslie Marineau, LMHC
• Vanessa Ledo Marinho
• Dominick Anthony Marino, O.D.
• Mario Rueda MD PLLC
• Mark H. Barnett, PH.D., P.a.
• Louis Mark, M.D.
• Mitchell L Marks, D.O.
• Katherine Jisel Maroun
• Andreia Marques
• Marilyn Ann Marquez, MD

• Dentist in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.