DR. MARK JOHN CONNELLY (NPI# 1235168683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235168683 |
| Entity Type | Individual |
| Full Name | DR. MARK JOHN CONNELLY |
| Credential | DDS |
| Practice Address |
911 E State St Suite C Saint Johns MI 48879-1684 |
| Practice Telephone | 9892242379 |
| Mailing Telephone | 9892242379 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
13432 | MI | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770670572 | Mark E Connelly | Pharmacist | 718 Smyth Rd., Va Medical Center, Manchester, NH 03104 | 2006-10-05 |
| 1770876583 | Mark Stephen Connelly | Pediatrics | 111 Michigan Ave Nw, Suite M4800, Washington, DC 20010-2916 | 2011-05-26 |
| 1679743538 | Mark David Connelly | Emergency Medicine | 640 Jackson St, Saint Paul, MN 55101-2502 | 2008-03-07 |
| 1407874753 | Mark Andrew Connelly | Psychologist | 2401 Gillham Rd, 4th Floor, Developmental and Behavioral Sciences, Kansas City, MO 64108-4619 | 2006-07-17 |
| 1437154358 | Mark V Connelly | Surgery | 1836 South Ave, La Crosse, WI 54601-5429 | 2005-06-16 |
| Street Address |
911 E STATE ST SUITE C |
| City | SAINT JOHNS |
| State | MI |
| Zip Code | 48879-1684 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053525899 | Family Dental Services PC | Dentist | 911 E State St, Suite C, Saint Johns, MI 48879-1684 | 2007-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003383035 | Soledad Poquiz | Physical Therapist | 1011 Old U.S. 27 Suite A, St. Johns, MI 48879 | 2018-10-29 |
| 1134613680 | Edward Peters Iv | Optometrist | 1002 Old U.S. 27, St. Johns, MI 48879 | 2018-06-19 |
| 1386082352 | Jennie Louise Findlay | Physical Therapist | 6798 Findlay Road, Saint Johns, MI 48879 | 2013-06-11 |
| 1528200839 | Heidi Jo Glew | Social Worker | 6190 W. Centerline Rd, St. Johns, MI 48879 | 2009-04-01 |
| 1376721084 | Richard Heaton | Registered Nurse | 701 Mortin St, St Johns, MI 48879 | 2008-02-05 |
| 1992830038 | Rodger Wesley Massa | Chiropractor | 1004 N Us 27, St Johns, MI 48879 | 2007-02-22 |
| 1225182454 | Polly A Lilleboe | Specialist | 805 Oakland Street, St Johns, MI 48879 | 2007-01-23 |
| 1730272485 | St. Johns Counseling and Therapy Services, P.C. | Social Worker | 1505 Waterford Parkway, St. Johns, MI 48879 | 2006-10-02 |
| 1093810400 | Janet Lynn Woodcock | Social Worker | 120 E Walker Street, St Johns Counseling & Therapy Services PC Suite B, St Johns, MI 48879 | 2006-09-13 |
| 1366481194 | Beth Ann Snyder-petrowitz | Nurse Anesthetist, Certified Registered | 805 S. Oakland, St. John's, MI 48879 | 2006-06-06 |
| Find all providers in zip 48879 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316583446 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 60 Shops Blvd Ste 10, Saint Johns, FL 32259-2385 | 2019-11-25 |
| 1831731009 | Andrew Dacunha, Dmd, Pa | Dentist | 71 Doctors Village Drive, Suite 303, Saint Johns, FL 32259 | 2019-10-09 |
| 1093378713 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 70 Durbin Pavilion Dr Ste 112, Saint Johns, FL 32259-4109 | 2019-04-18 |
| 1043760390 | Comfortable Care Dental Health Professionals, Pa | Dentist | 2532 Race Track Rd, Saint Johns, FL 32259 | 2016-10-11 |
| 1336571082 | Andrew Allen Dacunha | Dentist | 71 Doctors Village Dr Ste 303, Saint Johns, FL 32259-2406 | 2013-08-05 |
| 1164794244 | James Wayne Leonard | Dentist | 2233 County Road 210 W, Saint Johns, FL 32259-4019 | 2012-02-03 |
| 1588985808 | Brenon K Farmer | Dentist | 860 W. Cleveland, Suite 5, Saint Johns, AZ 85936 | 2010-06-22 |
| 1922140862 | Don Koenigsknecht | Dentist | 102 E Cass St, Saint Johns, MI 48879-1833 | 2007-02-13 |
| 1154423119 | Kenneth J Pero | Dentist | 1014 N Clinton Ave, Saint Johns, MI 48879-1042 | 2006-09-01 |
| 1366558405 | Susan Lynn Amatrudi | Dentist | 485 State Road 13 Ste 4, Saint Johns, FL 32259-2993 | 2006-08-22 |
| Find all providers in SAINT JOHNS | ||||
| City | SAINT JOHNS |
| Zip Code | 48879 |
Please comment or provide details below to improve the information on DR. MARK JOHN CONNELLY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.