Whalio Doctors

NPI 1467425546

Mark Arthur Dettelbach, MD

Practitioner Plastic Surgery within the Head & Neck (Otolaryngology) Physician Chevy Chase, MD

Practice location

Address
5454 Wisconsin Ave Suite 1535, Chevy Chase, MD 20815-6901
Phone
(301) 652-8847
Fax
(301) 652-8320
Mailing address
6201 Greenleigh Ave, Middle River, MD 21220-2004

Registered specialties (2)

Plastic Surgery within the Head & Neck (Otolaryngology) Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207YX0007X Licence MD21258 (DC)
Specialist
Other Service Providers Taxonomy 174400000X Licence D47278 (MD)

Registry record

NPI
1467425546
Entity type
Individual
Sex (as registered)
Male
NPI issued
9 Feb 2006
Record last updated
26 Jun 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.