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NPI Code Detail

MEDICARE: MAX PRINCE DMD

MEDICARE: MAX PRINCE 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 DentistryDN10001396MA

General Provider Information

NPI Number : 1225893852
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAX PRINCE DMD
Provider Business Mailing Address
First Line : 116 MAIN ST STE 1
Second Line :
City : MARLBOROUGH
State : MA
Zip : 01752-3811
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 116 MAIN ST STE 1
Second Line :
City : MARLBOROUGH
State : MA
Zip : 01752-3811
Country : US
Telephone Number : 508-485-2209
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2024
Last Update Date : 06/30/2026

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Directions to “ MAX PRINCE DMD” Practice Location

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