Mark Wiatt, DDS
Dentist · T Or C, NM
Practice location
1960 N Date StT Or C, NM 87901-3701
- Phone
- (505) 267-3088
- Fax
- (505) 267-1747
NPI record
- NPI
- 1801889209
- Entity type
- Individual (Type 1)
- Enumeration date
- August 31, 2005
- Last updated
- December 18, 2007
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X |
DD-2602 | NM |
Mailing address
255 Hwy 187PO Box 370
Hatch, NM 87937-0730
- Phone
- (505) 267-3088
- Fax
- (505) 267-1747
About Dr. Wiatt
Mark Wiatt, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 1960 N Date St, T Or C, NM 87901-3701. The NPI number 1801889209 was assigned on August 31, 2005 and the record was last updated on December 18, 2007.
Dr. Wiatt lists a license in the registry: #DD-2602 (NM) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Mark Wiatt, DDS?
The NPI number is 1801889209.
What is the phone number of Dr. Wiatt?
The phone number listed for the practice location is (505) 267-3088.
Where is Dr. Wiatt located?
1960 N Date St, T Or C, NM 87901-3701.
What is the taxonomy code for Dr. Wiatt?
The primary taxonomy code is 122300000X – Dentist.
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.
Other Dentist providers in T Or C
- Leroy Baca, DDS1960 N Date St