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General NPI Number Information
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NPI Number | 1013131895
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Entity Type | Individual
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Provider Name | HUGO P DAMBROSIO JR. DDS MSCD DSC DSCD
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Gender | Male
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Dates
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Enumeration Date | 04/12/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 8 BRAMBLEBUSH PARK
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City | FALMOUTH
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State | MA
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Zip | 02540
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Country | US
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Telephone | 508-548-7644
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Fax | 508-548-7003
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Provider Business Mailing Address
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Address Line | 8 BRAMBLEBUSH PARK
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City | FALMOUTH
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State | MA
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Zip | 02540
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Country | US
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Telephone | 508-548-7644
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Fax | 508-548-7003
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223D0001X
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Taxonomy Name | Public Health Dentistry
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License Number | 12656
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 12656
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 12656
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License Number State | MA
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Taxonomy #4
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 12656
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License Number State | MA
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Taxonomy #5
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 12656
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License Number State | MA
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