Individual
DR. DAVID ALAN MACZKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
225 RT 6A, ORLEANS, MA 02653
(508) 255-0032
Mailing address
225 RT 6A, ORLEANS, MA 02653
(508) 255-0032
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15594
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04291855
PROVIDER NO DELTA DENTAL
MA
01
—
XD6990
PROVIDER NO BCBS DENTAL
MA
Enumeration date
07/28/2006
Last updated
07/08/2007
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