MEDICARE: DR. ARMOND M ENOS JR. D.D.S;M.S.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	14887	MA

General Provider Information

NPI Number	:	1780667758
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ARMOND M ENOS JR. D.D.S;M.S.D

Provider Business Mailing Address
First Line	:	14 WILLOWBROOK DR
Second Line	:	300 ELIOT STREET
City	:	FRAMINGHAM
State	:	MA
Zip	:	01702-5562
Country	:	US
Telephone Number	:	508-881-4550
Fax Number	:	508-881-2520

Provider Business Practice Location Address
First Line	:	300 ELIOT ST
Second Line	:
City	:	ASHLAND
State	:	MA
Zip	:	01721-2380
Country	:	US
Telephone Number	:	508-881-4550
Fax Number	:	508-881-2520

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

Provider Enumeration Date	:	11/23/2005
Last Update Date	:	07/08/2007

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