Organization
ROBERT H. AUDET, D.M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT HENRY AUDET D.M.D. (PROPRIETOR)
(508) 347-7171
Entity
Organization
Contact information
Practice address
22 MAIN ST, STURBRIDGE, MA 01566-1246
(508) 347-7171
(508) 347-7088
Mailing address
22 MAIN ST, STURBRIDGE, MA 01566-1246
(508) 347-7171
(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
—
X12475
BC BS GROUP
MA
Enumeration date
04/19/2007
Last updated
08/22/2020
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