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General NPI Number Information
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NPI Number | 1811868706
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Entity Type | Organization
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Legal Business Name | SALEM ENDODONTICS, PLLC
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Dates
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Enumeration Date | 09/15/2025
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 839 WASHINGTON ST STE A
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City | STOUGHTON
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State | MA
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Zip | 02072-2941
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Country | US
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Telephone | 203-535-9269
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Fax |
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Provider Business Mailing Address
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Address Line | 31 MASSACHUSETTS AVE APT 62
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City | BOSTON
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State | MA
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Zip | 02115-1413
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Country | US
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Telephone | 203-535-9269
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Fax |
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Authorized Official
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Title or Position | ENDODONTIST/OWNER
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Name | DR. DANIEL SALEM
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Credential | D.M.D
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Telephone | 203-535-9269
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number |
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License Number State |
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