# MARK D. DEPONTE, M.D.,LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548591597
- **Authorized official:** DR. MARK D DEPONTE M.D. (OWNER)
- **Authorized official phone:** (860) 376-4451

## Contact information

- **Practice address:** 2 LEE ROAD, LISBON, CT 06351-3015
- **Practice address phone:** (860) 376-4451
- **Practice address fax:** (860) 376-5977
- **Mailing address:** 2 LEE ROAD, LISBON, CT 06351-3015
- **Mailing address phone:** (860) 376-4451
- **Mailing address fax:** (860) 376-5977

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 39445 | CT | Yes |

## Other

- **Enumeration date:** 01/14/2010
- **Last updated:** 08/14/2026