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NPI Code Detail

MEDICARE: KIRK DENTAL ASSOCIATES

MEDICARE: KIRK DENTAL ASSOCIATES
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 Dentistry

General Provider Information

NPI Number : 1548257751
Entity Type Code : Organization
Provider Name (Legal Business Name) : KIRK DENTAL ASSOCIATES
Provider Business Mailing Address
First Line : 57 CODJER LN
Second Line :
City : SUDBURY
State : MA
Zip : 01776
Country : US
Telephone Number : 978-443-4348
Fax Number : 978-443-4355
Provider Business Practice Location Address
First Line : 57 CODJER LN
Second Line :
City : SUDBURY
State : MA
Zip : 01776
Country : US
Telephone Number : 978-443-4348
Fax Number : 978-443-4355
Authorized Official
Title or Position : OWNER/DENTIST
Name : DR. DAVID QUENTIN KIRK JR.
Credential : DDS
Telephone Number : 978-443-4348
Provider Enumeration Date : 10/03/2005
Last Update Date : 05/02/2017

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Directions to “KIRK DENTAL ASSOCIATES ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.