Mark C Fletcher (NPI# 1275563256, PAC ID# 1254489669) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORAL SURGERY.
| Nation Provider ID (NPI) | 1275563256 |
| PAC ID by PECOS | 1254489669 |
| Professional Enrollment ID | I20111214000665 |
| Full Name | Mark C Fletcher |
| Organization Legal Name | AVON ORAL AND MAXILLOFACIAL SURGERY, LLP |
| Address |
34 Dale Rd Suite 105 Avon CT 06001-3659 |
| Phone Number | 8606748079 |
| Gender | M |
| Medical School | JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY |
| Graduation Year | 1999 |
| Primary Specialty | ORAL SURGERY |
| Secondary Specialties | MAXILLOFACIAL SURGERY |
| Group Practice PAC ID | 0648328047 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 34 Dale Rd, Suite 105, Avon, CT 06001-3659 | 8606748079 | AVON ORAL AND MAXILLOFACIAL SURGERY, LLP |
| Organization Legal Name | AVON ORAL AND MAXILLOFACIAL SURGERY, LLP |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stuart E Lieblich | Oral Surgery | Avon Oral and Maxillofacial Surgery, LLP | 34 Dale Rd, Suite 105, Avon, CT 06001-3659 |
| Daniel J Gill | Oral Surgery | Avon Oral and Maxillofacial Surgery, LLP | 34 Dale Rd, Suite 105, Avon, CT 06001-3659 |
| Street Address |
34 DALE RD SUITE 105 |
| City | AVON |
| State | CT |
| Zip | 06001-3659 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven D Bond | Orthopedic Surgery | Farmington Valley Orthopedic Associates PC | 34 Dale Rd, Suite 208, Avon, CT 06001-3659 |
| Stuart E Lieblich | Oral Surgery | Avon Oral and Maxillofacial Surgery, LLP | 34 Dale Rd, Suite 105, Avon, CT 06001-3659 |
| David B Burstein | Orthopedic Surgery | Farmington Valley Orthopedic Associates PC | 34 Dale Rd, Suite 208, Avon, CT 06001-3659 |
| Andrew G Gabow | Orthopedic Surgery | Farmington Valley Orthopedic Associates PC | 34 Dale Rd, Suite 208, Avon, CT 06001-3659 |
| Clinton A Jambor | Orthopedic Surgery | Farmington Valley Orthopedic Associates PC | 34 Dale Rd, Suite 208, Avon, CT 06001-3659 |
| Jesse D Howes | Physician Assistant | Farmington Valley Orthopedic Associates PC | 34 Dale Rd, Suite 208, Avon, CT 06001-3659 |
| Raymond C Squier | Anesthesiology | Woodland Anesthesiology Associates, P.C. | 34 Dale Rd, Suite 208, Avon, CT 06001-3659 |
| Daniel J Gill | Oral Surgery | Avon Oral and Maxillofacial Surgery, LLP | 34 Dale Rd, Suite 105, Avon, CT 06001-3659 |
| Brian M Fry | Physician Assistant | Farmington Valley Orthopedic Associates PC | 34 Dale Rd, Suite 208, Avon, CT 06001-3659 |
| Ramkumar T Sankaran | Internal Medicine | 34 Dale Rd, Suite 103, Avon, CT 06001-3659 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrea Rindone | Clinical Social Worker | Harvest Healthcare LLC | 21 Waterville Rd, Avon, CT 06001-2097 |
| Sasha Perry | Nurse Practitioner | Harvest Healthcare LLC | 21 Waterville Rd, Avon, CT 06001-2097 |
| Peter A Talbot | Clinical Social Worker | Harvest Healthcare LLC | 21 Waterville Rd, Avon, CT 06001-2097 |
| Elizabeth Zahoruiko | Clinical Social Worker | Harvest Healthcare LLC | 21 Waterville Rd, Avon, CT 06001-2097 |
| Terese Fagan | Clinical Social Worker | Harvest Healthcare LLC | 21 Waterville Rd, Avon, CT 06001-2097 |
| Jean Enderle | Nurse Practitioner | Harvest Healthcare LLC | 21 Waterville Rd, Avon, CT 06001-2097 |
| Alexia Cortella | Nurse Practitioner | Harvest Healthcare LLC | 21 Waterville Rd, Avon, CT 06001-2097 |
| Ellen Galat | Psychologist, Clinical | Harvest Healthcare LLC | 21 Waterville Rd, Avon, CT 06001-2097 |
| Richard Panetta | Nurse Practitioner | Harvest Healthcare LLC | 21 Waterville Rd, Avon, CT 06001-2097 |
| Nick Ramandi | Psychiatry | Harvest Healthcare LLC | 21 Waterville Rd, Avon, CT 06001-2097 |
| Find all physicians in zip 06001 | |||
| City | AVON |
| Zip Code | 06001 |
| Specialty | ORAL SURGERY |
| City + Specialty | AVON + ORAL SURGERY |
Please comment or provide details below to improve the information on Mark C Fletcher.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.