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General NPI Number Information
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NPI Number | 1922937366
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Entity Type | Organization
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Legal Business Name | DENTAL PARTNERS OF NEWBURYPORT
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Dates
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Enumeration Date | 05/13/2026
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Last Update Date | 05/13/2026
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Provider Practice Location Address
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Address Line | 194 HIGH ST
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City | NEWBURYPORT
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State | MA
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Zip | 01950-3823
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Country | US
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Telephone | 978-465-5358
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Fax |
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Provider Business Mailing Address
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Address Line | 194 1/2 SALEM RD
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City | BILLERICA
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State | MA
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Zip | 01821-1431
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Country | US
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Telephone | 508-857-7508
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | THALITA ANDENMATTEN
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Credential | DMD
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Telephone | 508-857-7508
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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 |
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License Number State |
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