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General NPI Number Information
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NPI Number | 1932297488
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Entity Type | Organization
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Legal Business Name | MATTHEW T BOYNTON DMD PC
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Dates
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Enumeration Date | 10/10/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 70 COURT STREET
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City | PLYMOUTH
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State | MA
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Zip | 02360
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Country | US
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Telephone | 508-746-1666
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Fax | 508-746-3630
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Provider Business Mailing Address
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Address Line | 70 COURT STREET
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City | PLYMOUTH
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State | MA
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Zip | 02360
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Country | US
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Telephone | 508-746-1666
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Fax | 508-746-3630
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Authorized Official
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Title or Position | OWNER
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Name | MATTHEW T BOYNTON
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Credential | DMD
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Telephone | 508-746-1666
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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 | 20766
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License Number State | MA
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