Healthcare Provider Details

I. General information

NPI: 1598795841
Provider Name (Legal Business Name): MARC F. AUGER D.D.S
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/03/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1480 FALMOUTH RD
CENTERVILLE MA
02632-2953
US

IV. Provider business mailing address

1480 FALMOUTH RD PO BOX 363
CENTERVILLE MA
02632-2953
US

V. Phone/Fax

Practice location:
  • Phone: 508-771-0298
  • Fax: 508-771-0299
Mailing address:
  • Phone: 508-771-0298
  • Fax: 508-771-0299

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number11550
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: