MEDICARE: DR. FRANK J. DIMAURO D.M.D

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
1	1223G0001X	General Practice Dentistry	17709	MA

General Provider Information

NPI Number	:	1093047565
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR. FRANK J. DIMAURO D.M.D

Provider Business Mailing Address
First Line	:	161 S MAIN ST
Second Line	:	SUITE 200
City	:	MIDDLETON
State	:	MA
Zip	:	01949-2485
Country	:	US
Telephone Number	:	978-777-9959
Fax Number	:	978-777-9912

Provider Business Practice Location Address
First Line	:	161 S MAIN ST
Second Line	:	SUITE 200
City	:	MIDDLETON
State	:	MA
Zip	:	01949-2485
Country	:	US
Telephone Number	:	978-777-9959
Fax Number	:	978-777-9912

Authorized Official
Title or Position	:	DENTIST
Name	:	DR. FRANK J DIMAURO
Credential	:	D.M.D
Telephone Number	:	978-777-9959

Provider Enumeration Date	:	02/08/2010
Last Update Date	:	02/08/2010

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