# MARY ANNE DELCUPOLO DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659402899
- **Authorized official:** DR. MARY ANNE DELCUPOLO DDS (PRES)
- **Authorized official phone:** (508) 678-9047

## Contact information

- **Practice address:** H2 SWANSEA MALL, SWANSEA, MA 02777
- **Practice address phone:** (508) 678-9047
- **Practice address fax:** (508) 678-9220
- **Mailing address:** H2 SWANSEA MALL, SWANSEA, MA 02777
- **Mailing address phone:** (508) 678-9047
- **Mailing address fax:** (508) 678-9220

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 13641 | MA | — |
| 1223P0300X | Periodontics | 11023 | MA | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 13164 | MA | Yes |

## Other

- **Enumeration date:** 03/08/2007
- **Last updated:** 09/11/2025