MEDICARE: DR. STEVEN HOWARD ARMBRUST JR. 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	DN1857291	MA

General Provider Information

NPI Number	:	1639520430
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN HOWARD ARMBRUST JR. D.M.D.

Provider Business Mailing Address
First Line	:	45 NEWPORT AVE
Second Line	:
City	:	QUINCY
State	:	MA
Zip	:	02171-2610
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	45 NEWPORT AVE
Second Line	:
City	:	QUINCY
State	:	MA
Zip	:	02171-2610
Country	:	US
Telephone Number	:	617-858-5648
Fax Number	:

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

Provider Enumeration Date	:	06/23/2016
Last Update Date	:	06/23/2016

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