Healthcare Provider Details

I. General information

NPI: 1760679237
Provider Name (Legal Business Name): DAVID J STARLING DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2007
Last Update Date: 09/28/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 FRANKLIN STREET SUITE 300
BRAINTREE MA
02184
US

IV. Provider business mailing address

400 FRANKLIN STREET SUITE 300
BRAINTREE MA
02184
US

V. Phone/Fax

Practice location:
  • Phone: 781-849-3051
  • Fax: 781-356-7039
Mailing address:
  • Phone: 781-849-3051
  • Fax: 781-356-7039

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number14725
License Number StateMA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
IdentifierX10469
Identifier TypeOTHER
Identifier StateMA
Identifier IssuerBC BS
# 2
Identifier100402
Identifier TypeOTHER
Identifier State
Identifier IssuerDELTA DENTAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: