Newburyport Dental Group LLC

NPI #1053890780 in Newburyport, Massachusetts

Provider Information

NPI Number: 1053890780
Entity Type: Organization
Organization Name: Newburyport Dental Group LLC
Primary Specialty: Dentist
Enumeration Date: Aug 13, 2018
Last Updated: Aug 13, 2018

Practice Location

Address: 1 INN ST APT 4
City: Newburyport
State: Massachusetts
ZIP Code: 01950-2557
Phone: (978) 462-2530

Authorized Official

Name: RICHARD TODD MILLER, DMD
Title: PRESIDENT
Phone: (781) 562-0457

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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