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NPI Code Detail

MEDICARE: DR. RICHARD D. LAFAUCI D.M.D.

MEDICARE: DR. RICHARD D. LAFAUCI D.M.D.
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
11223G0001XGeneral Practice Dentistry20817MA

General Provider Information

NPI Number : 1316937279
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RICHARD D. LAFAUCI D.M.D.
Provider Business Mailing Address
First Line : 11 EAST ST
Second Line :
City : MIDDLETON
State : MA
Zip : 01949-1506
Country : US
Telephone Number : 978-817-2000
Fax Number : 978-536-0214
Provider Business Practice Location Address
First Line : 11 EAST ST
Second Line :
City : MIDDLETON
State : MA
Zip : 01949-1506
Country : US
Telephone Number : 978-817-2000
Fax Number : 978-536-0214
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2005
Last Update Date : 09/07/2023

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