MEDICARE: ROBERT BAARSVIK, D.D.S.,P.C.

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	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	DN17055	MA

General Provider Information

NPI Number	:	1740527779
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROBERT BAARSVIK, D.D.S.,P.C.

Provider Business Mailing Address
First Line	:	1403 TUCKER RD
Second Line	:
City	:	NORTH DARTMOUTH
State	:	MA
Zip	:	02747-3152
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1403 TUCKER RD
Second Line	:
City	:	NORTH DARTMOUTH
State	:	MA
Zip	:	02747-3152
Country	:	US
Telephone Number	:	508-990-1499
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ROBERT BAARSVIK
Credential	:	D.D.S.
Telephone Number	:	508-990-1499

Provider Enumeration Date	:	01/10/2013
Last Update Date	:	01/11/2013

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