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NPI Code Detail

MEDICARE: DR. SEAN THOMAS COLLINS DMD

MEDICARE: DR. SEAN THOMAS COLLINS 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 DentistryDN1855795MA

General Provider Information

NPI Number : 1932489226
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SEAN THOMAS COLLINS DMD
Provider Business Mailing Address
First Line : 673 BEDFORD ST
Second Line : #1
City : ABINGTON
State : MA
Zip : 02351-1921
Country : US
Telephone Number : 781-878-0001
Fax Number :
Provider Business Practice Location Address
First Line : 673 BEDFORD ST
Second Line : #1
City : ABINGTON
State : MA
Zip : 02351-1921
Country : US
Telephone Number : 781-878-0001
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2011
Last Update Date : 08/18/2011

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