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NPI Code Detail

MEDICARE: TIA JEAN PATTERSON DMD

MEDICARE: TIA JEAN PATTERSON DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice DentistryDN1000051MA

General Provider Information

NPI Number : 1033819347
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIA JEAN PATTERSON DMD
Provider Business Mailing Address
First Line : 6 KENISTON RD
Second Line :
City : LYNNFIELD
State : MA
Zip : 01940-1814
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 11 EAST ST
Second Line :
City : MIDDLETON
State : MA
Zip : 01949-1506
Country : US
Telephone Number : 978-800-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2023
Last Update Date : 02/12/2026

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Directions to “ TIA JEAN PATTERSON DMD” Practice Location

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