Mark E. Potocki DDS, PC

General Practice Dentistry · Perry, MI

Organization Active NPI Reactivated September 29, 2009

NPI number 1568428753

Practice location

114 North Main Street
Perry, MI 48872-0619
Phone
(517) 625-4163
Fax
(517) 625-5049

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NPI record

NPI
1568428753
Entity type
Organization (Type 2)
Enumeration date
April 25, 2006
Last updated
September 29, 2009
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 014456 MI

Mailing address

PO Box 619
Perry, MI 48872-0619
Phone
(517) 625-4163
Fax
(517) 625-5049

Authorized official

Name
Dr. Mark E Potocki, DDS
Title
Owner/Dentist
Phone
(517) 625-4163

About Mark E. Potocki DDS, PC

Mark E. Potocki DDS, PC is a healthcare organization registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 114 North Main Street, Perry, MI 48872-0619. The NPI number 1568428753 was assigned on April 25, 2006 and the record was last updated on September 29, 2009.

Mark E. Potocki DDS, PC lists a license in the registry: #014456 (MI) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. Mark E Potocki, DDS, Owner/Dentist.

Frequently asked questions

What is the NPI number of Mark E. Potocki DDS, PC?

The NPI number is 1568428753.

What is the phone number of Mark E. Potocki DDS, PC?

The phone number listed for the practice location is (517) 625-4163.

Where is Mark E. Potocki DDS, PC located?

114 North Main Street, Perry, MI 48872-0619.

What is the taxonomy code for Mark E. Potocki DDS, PC?

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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