Mark John Connelly, DDS

General Practice Dentistry · Saint Johns, MI

Individual Active NPI

NPI number 1235168683

Practice location

911 E State St
Suite C
Saint Johns, MI 48879-1684
Phone
(989) 224-2379

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NPI record

NPI
1235168683
Entity type
Individual (Type 1)
Enumeration date
June 30, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 13432 MI

About Dr. Connelly

Mark John Connelly, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 911 E State St, Suite C, Saint Johns, MI 48879-1684. The NPI number 1235168683 was assigned on June 30, 2006 and the record was last updated on July 8, 2007.

Dr. Connelly lists a license in the registry: #13432 (MI) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mark John Connelly, DDS?

The NPI number is 1235168683.

What is the phone number of Dr. Connelly?

The phone number listed for the practice location is (989) 224-2379.

Where is Dr. Connelly located?

911 E State St, Suite C, Saint Johns, MI 48879-1684.

What is the taxonomy code for Dr. Connelly?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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