Individual
DAVID E PRINDIVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1 KNEELAND ST, BOSTON, MA 02111-1527
(617) 636-6828
Mailing address
247 FOSTER RD, BREWSTER, MA 02631-1471
(860) 558-6786
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN1856152
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DN1856152
MASSACHUSETTS
MA
Enumeration date
03/29/2006
Last updated
11/10/2025
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