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NPI Code Detail

MEDICARE: DR. PETER PAUL DEVLIN DMD

MEDICARE: DR. PETER PAUL DEVLIN DMD
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 Dentistry18301MA

General Provider Information

NPI Number : 1770591158
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PETER PAUL DEVLIN DMD
Provider Business Mailing Address
First Line : 1009 OSGOOD ST
Second Line : SUITE #6
City : NORTH ANDOVER
State : MA
Zip : 01845-1501
Country : US
Telephone Number : 978-686-1616
Fax Number : 978-686-1550
Provider Business Practice Location Address
First Line : 1009 OSGOOD ST
Second Line : SUITE #6
City : NORTH ANDOVER
State : MA
Zip : 01845-1501
Country : US
Telephone Number : 978-686-1616
Fax Number : 978-686-1550
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2006
Last Update Date : 09/24/2010

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Directions to “ DR. PETER PAUL DEVLIN DMD” Practice Location

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