MEDICARE: DR. ROBERT ALAN NAJARIAN DOS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	11105	MA

General Provider Information

NPI Number	:	1154335537
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT ALAN NAJARIAN DOS

Provider Business Mailing Address
First Line	:	84 SEA ST
Second Line	:
City	:	HYANNIS
State	:	MA
Zip	:	02601-4482
Country	:	US
Telephone Number	:	508-790-2465
Fax Number	:	508-790-2465

Provider Business Practice Location Address
First Line	:	15 CEDAR ST
Second Line	:
City	:	HYANNIS
State	:	MA
Zip	:	02601-3009
Country	:	US
Telephone Number	:	508-693-7300
Fax Number	:	508-790-2465

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/28/2006
Last Update Date	:	07/08/2007

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