Active NPIIndividual provider

Dr. Douglas I Doben, DMD

Dentist, Periodontics in Beverly, Massachusetts

NPI Number1083882005
Practice location
56 Dodge St, Perionorth, Beverly, MA 01915-1786
Fax
978-921-1714
Last updated
February 12, 2008

Douglas I Doben is a Dentist, Periodontics based in Beverly, MA. Douglas I Doben practices in Beverly, MA and has the professional credentials of DMD. The NPI Number for Douglas I Doben is 1083882005 and holds a License No. 11909 (MA). The current practice location address for Douglas I Doben is 56 Dodge St, Perionorth, Beverly, MA 01915-1786 and can be reached out via phone at 978-922-7666 and via fax at 978-921-1714.

Provider Profile Details

NPI Number
1083882005
Provider Name
Douglas I Doben
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
56 Dodge St, Perionorth, Beverly, MA 01915-1786
Phone Number
978-922-7666
Fax Number
978-921-1714
Primary Taxonomy
Dentist, Periodontics · 1223P0300X
Sole Proprietor
No
Provider Enumeration Date
February 12, 2008
Last Update Date
February 12, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
56 Dodge St
Perionorth
Beverly, MA 01915-1786
Zip
01915-1786
Phone Number
978-922-7666
Fax Number
978-921-1714
Beverly, MA 01915Get directions →

Provider Business Mailing Address Details

Address
56 Dodge St
Perionorth
Beverly, MA 01915-1786
City
Beverly
State
MA
Zip
01915-1786
Phone Number
978-922-7666
Fax Number
978-921-1714

License Information

License Number
11909
License State
MA
Taxonomy
Dentist, Periodontics · 1223P0300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Douglas I Doben, DMD?

The NPI number of Dr. Douglas I Doben, DMD is 1083882005. It was assigned on February 12, 2008 and is currently active in the NPPES registry.

What is the specialty of Dr. Douglas I Doben, DMD?

Dr. Douglas I Doben, DMD is registered under the primary taxonomy Dentist, Periodontics (code 1223P0300X), licensed in MA under license number 11909.

Where does Dr. Douglas I Doben, DMD practice?

The practice location is 56 Dodge St, Perionorth, Beverly, MA 01915-1786. The office can be reached at 978-922-7666 (phone) or 978-921-1714 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083882005 directly on the NPPES registry website.

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