# MARK R BYDALEK DMD LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mark R Bydalek DMD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982798625
- **Authorized official:** MARK R BYDALEK DMD (PRESIDENT)
- **Authorized official phone:** (609) 397-8833

## Contact information

- **Practice address:** 528 ROSEMONT RINGOES RD, SERGEANTSVILLE, NJ 08557
- **Practice address phone:** (609) 397-8833
- **Practice address fax:** (609) 397-0362
- **Mailing address:** PO BOX 273, 528 ROSEMONT BIN GOES RD, SERGEANTSVILLE, NJ 08557
- **Mailing address phone:** (609) 397-8833
- **Mailing address fax:** (609) 397-0362

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NJ | Yes |

## Other

- **Enumeration date:** 10/03/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | DI16937 | DELTA DENTAL OF NJ | NJ |