DR. MARY WICENSKI (NPI# 1669530135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669530135 |
| Entity Type | Individual |
| Full Name | DR. MARY WICENSKI |
| Credential | DMD |
| Practice Address |
27 Newport Road New London NH 03257-1017 |
| Mailing Address |
Po Box 1017 New London NH 03257-1017 |
| Practice Telephone | 6035262286 |
| Mailing Telephone | 6035269311 |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
3020 | NH | Dental Providers |
| Street Address |
27 NEWPORT ROAD |
| City | NEW LONDON |
| State | NH |
| Zip Code | 03257-1017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548431323 | Brian J. Wicenski, Dmd, Mary E. Wicenski, Dmd, Pllc | Clinic/Center | 27 Newport Road, New London, NH 03257 | 2008-03-19 |
| 1679633432 | Brian Wicenski | Dentist | 27 Newport Road, New London, NH 03257-1017 | 2006-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295357218 | Glenn L Perreault | Pharmacist | 82 Newport Rd, New London, NH 03257 | 2020-05-13 |
| 1740733047 | Patricia Martick-campbell | Counselor | 32 Goosehole Lane, New London, NH 03257 | 2016-08-03 |
| 1033535836 | Concord Pediatric Dentistry of New London, Pllc | Point of Service | 299 Main St., New London, NH 03257 | 2014-03-17 |
| 1285926071 | Nicholas Chester Reynolds Jr. | Surgery | 153 Seamans Road, New London, NH 03257 | 2011-05-11 |
| 1366693426 | Marlene G Meinelt | Social Worker | 35 Newport Road, New London, NH 03257 | 2008-10-08 |
| 1053562140 | Olivia Powers Weathers | Chiropractor | 71 Pleasant Street, New London, NH 03257 | 2008-10-07 |
| 1851569768 | Gregory P. Gutgsell Dds & Darren M Phipps Dds, Prof Assn | Dentist | 125 Newport Road, New London, NH 03257 | 2008-02-13 |
| 1093992000 | Christine Ann Dube | Family Medicine | 273 Country Road, New London, NH 03257 | 2008-01-22 |
| 1477743615 | Elizabeth Ann Johnston | Social Worker | The Gallery, 276 Newport Rd., Suite 202, New London, NH 03257 | 2007-07-25 |
| 1922215946 | Anthony Joseph Yuskaitis | Family Medicine | 868 Morgan Hill Rd., New London, NH 03257 | 2007-05-17 |
| Find all providers in zip 03257 | ||||
| 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 |
|---|---|---|---|---|
| 1548502438 | Elliot Harold Kimmel | Dentist | 27 Broad St, New London, CT 06320-5973 | 2013-03-19 |
| 1851569768 | Gregory P. Gutgsell Dds & Darren M Phipps Dds, Prof Assn | Dentist | 125 Newport Road, New London, NH 03257 | 2008-02-13 |
| 1134248651 | Drs. Matyas & Matyas | Dentist | 4 Shaws Cv Ste 202, New London, CT 06320-4956 | 2007-03-28 |
| 1245364694 | Charles Clayton Loberg | Dentist | 201 Wisconsin Street, New London, WI 54961-1171 | 2007-03-16 |
| 1922130160 | Charles C. Loberg D.d.s.,s.c. | Dentist | 201 Wisconsin St, New London, WI 54961-1171 | 2007-03-12 |
| 1134272511 | Paul Hanna D.m.d., P.C. | Dentist | 461 Ocean Ave, New London, CT 06320-4502 | 2007-01-19 |
| 1891871273 | John Allen | Dentist | 464 Montauk Ave, New London, CT 06320-4606 | 2006-10-28 |
| 1255438768 | John Leonard Difederico | Dentist | 195 Vauxhall St, New London, CT 06320 | 2006-09-19 |
| 1780799189 | Mark Christ Pothitakis | Dentist | 107 E Toothache Dr, New London, IA 52645-1141 | 2006-08-19 |
| 1255977823 | Kayla Y Perez-ortiz | Dentist | 5 Shaws Cv, New London, CT 06320-4974 | 2019-11-19 |
| Find all providers in NEW LONDON | ||||
| City | NEW LONDON |
| Zip Code | 03257 |
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| 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.