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NPI Code Detail

MEDICARE: DR. DEBRA FILOCOMA D.D.S.

MEDICARE:  DR. DEBRA  FILOCOMA  D.D.S.
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
11223P0221XPediatric Dentistry2612NH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1902862931
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DEBRA FILOCOMA D.D.S.
Provider Business Mailing Address
First Line : 4 TOBEY LN
Second Line :
City : ANDOVER
State : MA
Zip : 01810-5710
Country : US
Telephone Number : 978-470-3417
Fax Number :
Provider Business Practice Location Address
First Line : 150 GRIFFIN RD
Second Line : SUITE 2
City : PORTSMOUTH
State : NH
Zip : 03801-7131
Country : US
Telephone Number : 603-436-2204
Fax Number : 603-436-4158
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2006
Last Update Date : 07/09/2007

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