Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Wael K Mabrouk, DMD

Individual provider Dentist · NPI 1700145828

Wael K Mabrouk, DMD is a Dentist in Fort Drum, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2012
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

10590 Enduring Freedom Dr
Fort Drum, NY 13602-5503
Phone: (315) 772-6234
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 057089 (NY)

Record details

NPI number1700145828
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedMay 9, 2012
Last updated in NPPESJune 22, 2022
Certification dateJune 22, 2022

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