Individual
DANIEL REGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3 TROUT BROOK LN, NORWELL, MA 02061-1236
(781) 724-3991
Mailing address
3 TROUT BROOK LN, NORWELL, MA 02061-1236
(781) 724-3991
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
019033360
IL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
021003125
IL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DN1858370
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/03/2019
Last updated
01/14/2022
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