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General NPI Number Information
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NPI Number | 1871790170
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Entity Type | Organization
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Legal Business Name | JOHN SEXTON, DMD, MSD,PC
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Dates
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Enumeration Date | 06/29/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 372 WASHINGTON ST SUITE 2500
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City | WELLESLEY
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State | MA
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Zip | 02481-6202
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Country | US
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Telephone | 781-235-4554
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Fax | 781-237-2947
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Provider Business Mailing Address
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Address Line | 372 WASHINGTON ST SUITE 2500
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City | WELLESLEY
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State | MA
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Zip | 02481-6202
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Country | US
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Telephone | 781-235-4554
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Fax | 781-237-2947
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Authorized Official
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Title or Position | OFFICE MANGER
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Name | DIANE LOMBARDI
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Credential |
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Telephone | 781-235-4554
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 12914
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License Number State | MA
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