Healthcare Provider Details

I. General information

NPI: 1689419756
Provider Name (Legal Business Name): AUSTIN NEUBERT DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2024
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

228 WASHINGTON ST # A140
ATTLEBORO MA
02703-5561
US

IV. Provider business mailing address

228 WASHINGTON ST # A140
ATTLEBORO MA
02703-5561
US

V. Phone/Fax

Practice location:
  • Phone: 774-206-5592
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDN10001542
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: