Mark Thomas Hewlett, D.M.D.
NPI #1710955968 in Granite City, Illinois
Provider Information
- NPI Number
- 1710955968
- Entity Type
- Individual
- Name
- Mark Thomas Hewlett, D.M.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- D.M.D.
- Enumeration Date
- Mar 12, 2006
- Last Updated
- Mar 20, 2008
Practice Location
- Address
- 2101 PONTOON RD
- City
- Granite City
- State
- Illinois
- ZIP Code
- 62040-4015
- Phone
- (618) 797-9877
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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