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NPI Code Detail

MEDICARE: FRANK MICHITTI, DDS, PC

MEDICARE: FRANK MICHITTI, DDS, PC
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 DentistryDN1856128MA

General Provider Information

NPI Number : 1275879850
Entity Type Code : Organization
Provider Name (Legal Business Name) : FRANK MICHITTI, DDS, PC
Provider Business Mailing Address
First Line : 1156 SPRINGFIELD ST
Second Line :
City : FEEDING HILLS
State : MA
Zip : 01030-2185
Country : US
Telephone Number : 413-786-4400
Fax Number :
Provider Business Practice Location Address
First Line : 1156 SPRINGFIELD ST
Second Line :
City : FEEDING HILLS
State : MA
Zip : 01030-2185
Country : US
Telephone Number : 413-786-4400
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. FRANK MICHITTI
Credential : DDS
Telephone Number : 860-255-7162
Provider Enumeration Date : 12/30/2012
Last Update Date : 12/30/2012

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