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NPI Code Detail

MEDICARE: MD AUBURN

MEDICARE: MD AUBURN
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
1261QD0000XDental Clinic/Center

General Provider Information

NPI Number : 1902568421
Entity Type Code : Organization
Provider Name (Legal Business Name) : MD AUBURN
Provider Business Mailing Address
First Line : 34 CENTER ST
Second Line :
City : AUBURN
State : ME
Zip : 04210-6001
Country : US
Telephone Number : 603-767-2170
Fax Number :
Provider Business Practice Location Address
First Line : 34 CENTER ST
Second Line :
City : AUBURN
State : ME
Zip : 04210-6001
Country : US
Telephone Number : 207-312-5422
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. BENJAMIN LAWLOR
Credential : DDS
Telephone Number : 207-312-5422
Provider Enumeration Date : 10/12/2021
Last Update Date : 10/12/2021

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Directions to “MD AUBURN ” Practice Location

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