Provider Demographics
NPI:1871649780
Name:ABEL, MARK D (DMD, MD)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:D
Last Name:ABEL
Suffix:
Gender:M
Credentials:DMD, MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:27 SAGAMORE ST
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03104-3547
Mailing Address - Country:US
Mailing Address - Phone:603-622-9441
Mailing Address - Fax:603-622-9738
Practice Address - Street 1:27 SAGAMORE ST
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03104-3547
Practice Address - Country:US
Practice Address - Phone:603-622-9441
Practice Address - Fax:603-622-9738
Is Sole Proprietor?:No
Enumeration Date:2007-01-25
Last Update Date:2020-08-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NH14311204E00000X
NH037041223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
No204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial Surgery