Male or Other

Dr. Mark D. Hackbarth DDS

Dentist in Brookfield, WI(View on Map)

Full Name

Dr. Mark Daniel Hackbarth DDS

NPI Number

1568476083

NPI Type

Individual Provider

Gender

Male

Enumeration Date

07/28/2006

Specialties

(Taxonomies)

Name

Code

122300000X

Primary Taxonomy

Yes

Licenses

State

Wisconsin

License Number

2479

Contact
Information

Purpose

Mailing
Location

Address

12770 W NORTH AVE
12770 W NORTH AVE

City

Brookfield
Brookfield

State

WI
WI

Postal Code

53005-4628
53005-4628

Country

US
US

Telephone Number

(262) 782-6311
(262) 782-6311

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address

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