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General NPI Number Information
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NPI Number | 1497390868
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Entity Type | Organization
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Legal Business Name | GREGORY W. MONFETTE, DMD, PC
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Dates
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Enumeration Date | 11/08/2019
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Last Update Date | 11/08/2019
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Provider Practice Location Address
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Address Line | 56 ELDRIDGE PARK WAY
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City | ORLEANS
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State | MA
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Zip | 02653-3326
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Country | US
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Telephone | 508-255-2511
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Fax |
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Provider Business Mailing Address
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Address Line | 9 STEVENS WAY
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City | HARWICH
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State | MA
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Zip | 02645-1428
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Country | US
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Telephone | 508-566-5783
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GREGORY MONFETTE
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Credential | DMD
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Telephone | 508-566-5783
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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