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General NPI Number Information
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NPI Number | 1013876523
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Entity Type | Organization
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Legal Business Name | EZ DENTAL GROVELAND PLLC
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Dates
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Enumeration Date | 01/20/2026
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Last Update Date | 01/20/2026
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Provider Practice Location Address
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Address Line | 156 MAIN ST UNIT 1
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City | GROVELAND
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State | MA
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Zip | 01834-1311
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Country | US
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Telephone | 978-521-2922
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Fax | 978-521-2922
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Provider Business Mailing Address
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Address Line | 156 MAIN ST UNIT 1
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City | GROVELAND
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State | MA
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Zip | 01834-1311
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Country | US
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Telephone | 978-521-2922
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Fax | 978-521-2922
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Authorized Official
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Title or Position | MANAGER
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Name | DAVID ABOU-EZZI
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Credential | DMD
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Telephone | 508-801-4903
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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