Organization
AUBURN FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD S. MORRIS DMD (PRESIDENT)
(508) 832-4141
Entity
Organization
Contact information
Practice address
4 ALBERT ST, AUBURN, MA 01501-1304
(508) 832-4141
(508) 721-0753
Mailing address
4 ALBERT ST, AUBURN, MA 01501-1304
(508) 832-4141
(508) 721-0753
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16183
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18570-1
DENTAL BENEFIT PROVIDERS
MA
01
—
X11227
BC/BS OF MA
MA
Enumeration date
07/25/2006
Last updated
08/22/2020
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