Organization
FRAMINGHAM DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD STEPHEN TUTIN DMD (PRES)
(508) 872-0041
Entity
Organization
Contact information
Practice address
1671 WORCESTER ROAD, SUITE 103, FRAMINGHAM, MA 01701
(508) 872-0041
(508) 879-7482
Mailing address
1671 WORCESTER ROAD, SUITE 103, FRAMINGHAM, MA 01701
(508) 872-0041
(508) 879-7482
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
10574
MA
1223G0001X
General Practice Dentistry
Primary
17146
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
380063
HARVARD PILGRIM HEALTHCAR
MA
01
—
X12213
BLUE CROSS BLUE SHIELD
MA
Enumeration date
12/28/2006
Last updated
08/22/2020
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