MEDICARE: DR. MICHAEL N. VOSCHIN 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	19383	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215941323
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL N. VOSCHIN D.M.D.

Provider Business Mailing Address
First Line	:	637 WASHINGTON ST
Second Line	:	OAK SQUARE
City	:	BRIGHTON
State	:	MA
Zip	:	02135-1606
Country	:	US
Telephone Number	:	617-782-5030
Fax Number	:	617-782-8550

Provider Business Practice Location Address
First Line	:	637 WASHINGTON ST
Second Line	:	OAK SQUARE
City	:	BRIGHTON
State	:	MA
Zip	:	02135-1606
Country	:	US
Telephone Number	:	617-782-5030
Fax Number	:	617-782-8550

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/27/2006
Last Update Date	:	07/09/2007

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