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NPI Code Detail

MEDICARE: DR. ROBERT SCOTT LELAND DMD

MEDICARE: DR. ROBERT SCOTT LELAND 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 Dentistry20367MA

General Provider Information

NPI Number : 1649204652
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT SCOTT LELAND DMD
Provider Business Mailing Address
First Line : 51 MILL ST
Second Line : SUITE 10
City : HANOVER
State : MA
Zip : 02339-1641
Country : US
Telephone Number : 781-826-8395
Fax Number : 781-829-8996
Provider Business Practice Location Address
First Line : 51 MILL ST
Second Line : SUITE 10
City : HANOVER
State : MA
Zip : 02339-1641
Country : US
Telephone Number : 781-826-8395
Fax Number : 781-829-8996
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2006
Last Update Date : 07/08/2007

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