Organization
NEWBURYPORT FAMILY DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID RECZEK DDS (OWNER)
(978) 462-2530
Entity
Organization
Contact information
Practice address
1 INN ST, NEWBURYPORT, MA 01950-2557
(978) 462-2530
Mailing address
1 INN ST, NEWBURYPORT, MA 01950-2557
(978) 462-2530
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
14249
MA
122300000X
Dentist
Primary
21339
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1639418619
NPI
MA
01
—
1780694133
NPI
MA
Enumeration date
10/29/2014
Last updated
10/29/2014
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