Individual
DR. ROBERT HENRY AUDET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
22 MAIN ST, STURBRIDGE, MA 01566-1246
(508) 347-7171
(508) 347-7088
Mailing address
10 APPLE HILL RD, STURBRIDGE, MA 01566-1223
(508) 347-3017
(508) 347-7088
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11849
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
XO8491
BLUE CROSS BLUE SHIELD
MA
Enumeration date
12/05/2006
Last updated
07/08/2007
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