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General NPI Number Information
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NPI Number | 1609752575
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Entity Type | Organization
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Legal Business Name | PRECISION PERIODONTICS AND IMPLANT CENTER PLLC
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Dates
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Enumeration Date | 08/14/2025
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Last Update Date | 08/31/2025
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Provider Practice Location Address
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Address Line | 211 MAIN ST
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City | WILMINGTON
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State | MA
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Zip | 01887-2302
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Country | US
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Telephone | 617-721-0707
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Fax |
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Provider Business Mailing Address
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Address Line | 15 LARCHMONT LN
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City | LEXINGTON
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State | MA
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Zip | 02420-4406
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Country | US
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Telephone | 617-721-0707
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Fax | 617-721-0707
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Authorized Official
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Title or Position | OWNER
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Name | DR. KEVIN GUZE
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Credential | DMD
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Telephone | 617-721-0707
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number |
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License Number State |
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