Healthcare Provider Details

I. General information

NPI: 1851950141
Provider Name (Legal Business Name): MARIA ROSE WOJTYNEK DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2019
Last Update Date: 12/26/2023
Certification Date: 12/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

36 SAVAGE RD
MILFORD NH
03055-3133
US

IV. Provider business mailing address

36 SAVAGE RD
MILFORD NH
03055-3133
US

V. Phone/Fax

Practice location:
  • Phone: 603-673-0710
  • Fax:
Mailing address:
  • Phone: 781-507-4396
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN1858597
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number04716
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: