MEDICARE: DAVID TODD QUINTON DDS

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	1223G0001X	General Practice Dentistry	DN185647B	MA

General Provider Information

NPI Number	:	1821417817
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID TODD QUINTON DDS

Provider Business Mailing Address
First Line	:	510 E 23RD ST APT 11D
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10010-5014
Country	:	US
Telephone Number	:	917-439-9379
Fax Number	:

Provider Business Practice Location Address
First Line	:	510 E 23RD ST APT 11D
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10010-5014
Country	:	US
Telephone Number	:	917-439-9379
Fax Number	:

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

Provider Enumeration Date	:	04/08/2014
Last Update Date	:	04/08/2014

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Directions to “ DAVID TODD QUINTON DDS” Practice Location

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