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MARLBOROUGH DENTAL SPECIALTIES PC NPI 1841766433


NPI Information

NPI: 1841766433
Provider Name: MARLBOROUGH DENTAL SPECIALTIES, PC
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
116 MAIN ST STE 2
MARLBOROUGH, MA
ZIP 01752
Phone: (774) 374-2327
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MARLBOROUGH DENTAL SPECIALTIES, PC is an oral and maxillofacial surgery dentist in Marlborough, MA. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. MARLBOROUGH DENTAL SPECIALTIES, PC NPI is 1841766433. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

116 MAIN ST STE 2
MARLBOROUGH, MA
ZIP 01752-811
Phone: (774) 374-2327
Fax: (774) 374-2328

The provider's authorized official is Joanne Tavano .
The authorized official title is Cfo and has the following contact phone number (978) 580-1524.

The enumeration date for this NPI number is 10/22/2018 and was last updated on 9/30/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial SurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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