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General NPI Number Information
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NPI Number | 1841357142
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Entity Type | Organization
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Legal Business Name | MARTIN S. SPILLER, DMD, PC
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Dates
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Enumeration Date | 01/03/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 208 MAIN ST
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City | TOWNSEND
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State | MA
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Zip | 01469-1096
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Country | US
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Telephone | 978-597-5541
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Fax | 978-597-8982
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Provider Business Mailing Address
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Address Line | PO BOX 689
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City | TOWNSEND
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State | MA
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Zip | 01469-0689
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Country | US
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Telephone | 978-597-5541
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Fax | 978-597-8982
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MARTIN S SPILLER
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Credential | DMD
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Telephone | 978-597-5541
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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 | 15351
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License Number State | MA
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