Dr. Mark Louis Tummarello , DDS
Dentist - General Practice • Fairfax, VA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Mark Tummarello has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Mark Tummarello, DDS was a registered Dentist - General Practice practicing in Fairfax, VA. Throughout an active medical career spanning 17 years, Dr. Tummarello provided care at the practice location at 11208 WAPLES MILL RD until profile deactivation on 2023-11-11.
Practice Location & Contact Primary Location
11208 Waples Mill Rd
Suite #101
Fairfax, VA 220306077
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Fairfax, VA
Practicing in Fairfax, VA (3535 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Practice Associates & Co-Workers
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Dentist - General Practice
Doctor of Dental Surgery
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on November 11, 2023
NPI status registered as active in NPPES database
Registered at 11208 WAPLES MILL RD, SUITE #101, FAIRFAX, VA 220306077 (Tel: 7036911511)
Registered at 11208 WAPLES MILL RD, SUITE #101, FAIRFAX, VA 220306077 (Tel: 7036911511)
Recorded as MARK TUMMARELLO, DDS
Dentist (License #0401006382 in VA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
11208 Waples Mill Rd, Suite #101
Fairfax, VA 220306077
Phone: 7036911511
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