Active NPIIndividual provider

Dr. Theodore A Midura, DMD

Dentist in Easthampton, Massachusetts

NPI Number1316955271
Practice location
5 Campus Ln, Easthampton, MA 01027-1429
Fax
413-527-1242
Last updated
July 8, 2007

Theodore Anthony Midura is a Dentist based in Easthampton, MA. Theodore Anthony Midura practices in Easthampton, MA and has the professional credentials of DMD. The NPI Number for Theodore Anthony Midura is 1316955271 and holds a License No. 12553 (MA). The current practice location address for Theodore Anthony Midura is 5 Campus Ln, Easthampton, MA 01027-1429 and can be reached out via phone at 413-527-2330 and via fax at 413-527-1242.

Provider Profile Details

NPI Number
1316955271
Provider Name
Theodore Anthony Midura
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
5 Campus Ln, Easthampton, MA 01027-1429
Phone Number
413-527-2330
Fax Number
413-527-1242
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
No
Provider Enumeration Date
August 4, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
5 Campus Ln
Easthampton, MA 01027-1429
Zip
01027-1429
Phone Number
413-527-2330
Fax Number
413-527-1242
Easthampton, MA 01027Get directions →

Provider Business Mailing Address Details

Address
11 Jonathan Judd Cir
Southampton, MA 01073-9491
City
Southampton
State
MA
Zip
01073-9491
Phone Number
413-527-5519

License Information

License Number
12553
License State
MA
Taxonomy
Dentist · 122300000X · 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. Theodore A Midura, DMD?

The NPI number of Dr. Theodore A Midura, DMD is 1316955271. It was assigned on August 4, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Theodore A Midura, DMD?

Dr. Theodore A Midura, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in MA under license number 12553.

Where does Dr. Theodore A Midura, DMD practice?

The practice location is 5 Campus Ln, Easthampton, MA 01027-1429. The office can be reached at 413-527-2330 (phone) or 413-527-1242 (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 1316955271 directly on the NPPES registry website.

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