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NPI Code Detail

MEDICARE: DR. JEFFREY M. CASIGLIA DMD, DMSC

MEDICARE: DR. JEFFREY M. CASIGLIA DMD, DMSC
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 Dentistry19726MA
2261QD0000XDental Clinic/Center19726MA

General Provider Information

NPI Number : 1568569473
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEFFREY M. CASIGLIA DMD, DMSC
Provider Business Mailing Address
First Line : 398 ESSEX ST
Second Line :
City : SALEM
State : MA
Zip : 01970-3154
Country : US
Telephone Number : 978-744-7904
Fax Number : 978-745-8302
Provider Business Practice Location Address
First Line : 398 ESSEX ST
Second Line :
City : SALEM
State : MA
Zip : 01970-3154
Country : US
Telephone Number : 978-744-7904
Fax Number : 978-745-8302
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2006
Last Update Date : 03/03/2008

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