Provider Demographics
NPI:1851482988
Name:CONNERS, MARK G (DDS)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:G
Last Name:CONNERS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3592 MONROE AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSFORD
Mailing Address - State:NY
Mailing Address - Zip Code:14534-1235
Mailing Address - Country:US
Mailing Address - Phone:585-248-5250
Mailing Address - Fax:585-248-2508
Practice Address - Street 1:3592 MONROE AVE
Practice Address - Street 2:
Practice Address - City:PITTSFORD
Practice Address - State:NY
Practice Address - Zip Code:14534-1235
Practice Address - Country:US
Practice Address - Phone:585-248-5250
Practice Address - Fax:585-248-2508
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0427121223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice