MARK WILLIAM WALLING (NPI# 1710189261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710189261 |
| Entity Type | Individual |
| Full Name | MARK WILLIAM WALLING |
| Credential | D.D.S. |
| Practice Address |
1008 Gates Ave Brooklyn NY 11221-3602 |
| Practice Telephone | 5165825779 |
| Practice Fax Number | 7189197906 |
| Mailing Telephone | 5165825779 |
| Mailing Fax Number | 7189197906 |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
031624 | NY | Dental Providers |
| Street Address |
1008 GATES AVE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11221-3602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639218696 | Sunczerae Shanee Kushkituah | Dentist | 1008 Gates Ave, Brooklyn, NY 11221-3602 | 2007-02-06 |
| 1326342700 | Jerome S. Rosenberg Dds, PC | Dentist | 1008 Gates Ave, Brooklyn, NY 11221-3602 | 2010-12-29 |
| 1003939265 | Harold Maloff | Dentist | 1008 Gates Ave, Brooklyn, NY 11221-3602 | 2007-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487280558 | Katherine Purtle | Speech-Language Pathologist | 995 Lafayette Ave, Garden, Brooklyn, NY 11221 | 2020-03-20 |
| 1528573078 | Magali Cruz-anselme | Registered Nurse | Ebc High School, 1155 Dekalb Ave, Brooklyn, NY 11221 | 2017-12-06 |
| 1972015220 | Faith Nicole Lawrence | Social Worker | 406 Kosciuszko Street, Brooklyn, NY 11221 | 2017-10-26 |
| 1740704311 | Tanisha Williams | Social Worker | 293 Kosciuszko Street, Brooklyn, NY 11221 | 2017-07-26 |
| 1376072504 | Jessica Danielle Rowland | Behavioral Analyst | 706 Quincy Street, Brooklyn, NY 11221 | 2017-06-10 |
| 1396274668 | Kabetha Udayan | Case Manager/Care Coordinator | 163 Van Buren Street, Brooklyn, NY 11221 | 2017-06-08 |
| 1952858581 | Nadia Khalil | Specialist | 111 Living Ton Street, Brooklyn, NY 11221 | 2016-09-01 |
| 1467905240 | Kavena Shell Foxworth | Licensed Practical Nurse | 600 Gates Avenue, Apt 6b, Brooklyn, NY 11221 | 2016-07-28 |
| 1881056919 | Diondra Edmonds | Registered Nurse | 217 Lewis Ave, 4r, Brooklyn, NY 11221 | 2016-03-28 |
| 1871953984 | Ultimate Care, Inc. | Home Health | 1000 Gates Ave, 4th Floor, Brooklyn, NY 11221 | 2016-03-02 |
| Find all providers in zip 11221 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215416805 | Alex Zusin | Dentist | 2540 Batchelder St Apt 5o, Brooklyn, NY 11235-1530 | 2018-08-14 |
| 1073030540 | Rebecca Goldman | Dentist | 1743 E 29th St, Brooklyn, NY 11229-2516 | 2017-08-25 |
| 1982095337 | Cinzia Dinoi | Dentist | 255 Eastern Pkwy Apt C9, Brooklyn, NY 11238-6365 | 2015-02-06 |
| 1295907913 | Brilliant Dental & Associates, PC | Dentist | 820 Flatbush Avenue, Brooklyn, NY 11226 | 2008-04-02 |
| 1265617237 | Georgia Kougentakis | Dentist | 2420 National Dr, Brooklyn, NY 11234-6836 | 2008-01-08 |
| 1194923763 | Jay Rubin | Dentist | 6010 New Utrecht Ave, Brooklyn, NY 11219-5041 | 2007-07-05 |
| 1487865572 | Valentina Pechevaya | Dentist | 270 Ave P Dr Valentina Peachway, Brooklyn, NY 11204 | 2007-05-24 |
| 1619180650 | Maxim Alexander Podolsky | Dentist | 2272 Hendrickson St, Brooklyn, NY 11234-5131 | 2007-05-07 |
| 1245359066 | Konstantinos G Pavlakos | Dentist | 416 Bay Ridge Pkwy, Brooklyn, NY 11209-2702 | 2007-03-29 |
| 1750423257 | Kenneth Marcus | Dentist | 1750 Ocean Parkway, Suite 1a, Brooklyn, NY 11223 | 2007-02-12 |
| Find all providers in BROOKLYN | ||||
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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.