DR. STEPHEN MARIO VULTAGGIO D.D.S. NPI 1891852356

NPI Information

DR. Stephen Mario Vultaggio, D.D.S. is a general practice dentist in Concord, MA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. Stephen Mario Vultaggio, D.D.S. NPI is 1891852356. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

115 THOREAU ST
CONCORD, MA
ZIP 01742-443
Phone: (978) 371-2792

The CLIA number assigned to this NPI record is 22D2199900 - other - dental with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/3/2007 and was last updated on 8/30/2017.

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:

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