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NPI Code Detail

MEDICARE: DR. MICHAEL JOSEPH CALABRESE DMD

MEDICARE:  DR. MICHAEL JOSEPH CALABRESE  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 Dentistry17690MA

General Provider Information

NPI Number : 1871600130
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL JOSEPH CALABRESE DMD
Provider Business Mailing Address
First Line : 850 SPRINGFIELD ST
Second Line : SUITE 2
City : FEEDING HILLS
State : MA
Zip : 01030-2243
Country : US
Telephone Number : 413-786-0555
Fax Number : 413-821-0890
Provider Business Practice Location Address
First Line : 850 SPRINGFIELD ST
Second Line : SUITE 2
City : FEEDING HILLS
State : MA
Zip : 01030-2243
Country : US
Telephone Number : 413-786-0555
Fax Number : 413-821-0890
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2006
Last Update Date : 07/08/2007

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Directions to “ DR. MICHAEL JOSEPH CALABRESE DMD” Practice Location

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