IndividualActive
Mark Dettelbach, M.D.
NPI 1467425546 · Plastic Surgery within the Head & Neck (Otolaryngology) Physician · Chevy Chase, MD
Provider details
- NPI number
- 1467425546
- Entity type
- Individual
- Primary specialty
- Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- D47278 (MD)
Specialties & taxonomies
- Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianPrimary207YX0007XLicense MD21258 (DC)
Allopathic & Osteopathic Physicians
Other Service Providers
Practice location
5454 Wisconsin Ave
Suite 1535
Chevy Chase, MD 20815-6901
Phone: (301) 652-8847
Fax: (301) 652-8320
Approximate (ZIP-level) locationGet directions
Mailing address
6201 Greenleigh Ave
Middle River, MD 21220-2004
Additional practice locations (1)
- 1800 Orleans StBaltimore, MD 21287-0010Phone: (410) 502-2037Fax: (410) 955-0737
Registry dates
- Enumerated
- 2006-02-09
- Last updated
- 2025-06-26
- Certified
- 2025-06-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.