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NPI Code Detail

MEDICARE: DR. DARREN DRAG D.M.D.

MEDICARE:  DR. DARREN  DRAG  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
11223G0001XGeneral Practice Dentistry20358MA

General Provider Information

NPI Number : 1750382511
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DARREN DRAG D.M.D.
Provider Business Mailing Address
First Line : 113 WASHINGTON ST
Second Line :
City : FOXBORO
State : MA
Zip : 02035-1332
Country : US
Telephone Number : 508-543-7774
Fax Number : 508-543-7747
Provider Business Practice Location Address
First Line : 113 WASHINGTON ST
Second Line :
City : FOXBORO
State : MA
Zip : 02035-1332
Country : US
Telephone Number : 508-543-7774
Fax Number : 508-543-7747
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2005
Last Update Date : 07/08/2007

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Directions to “ DR. DARREN DRAG D.M.D.” Practice Location

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