Active NPIIndividual providerSole proprietor

Dr. Oscar S Depriest IV, DMD

Dentist, General Practice in Bedford, Massachusetts

NPI Number1811040546
Practice location
56 Great RD, Bedford, MA 01730-2120
Fax
781-275-1443
Last updated
July 8, 2007

Oscar Stanton Depriest is a Dentist, General Practice based in Bedford, MA. Oscar Stanton Depriest practices in Bedford, MA and has the professional credentials of DMD. The NPI Number for Oscar Stanton Depriest is 1811040546 and holds a License No. 14565 (MA). The current practice location address for Oscar Stanton Depriest is 56 Great RD, Bedford, MA 01730-2120 and can be reached out via phone at 781-275-7707 and via fax at 781-275-1443.

Provider Profile Details

NPI Number
1811040546
Provider Name
Oscar Stanton Depriest
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
56 Great RD, Bedford, MA 01730-2120
Phone Number
781-275-7707
Fax Number
781-275-1443
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
January 18, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
56 Great RD
Bedford, MA 01730-2120
Zip
01730-2120
Phone Number
781-275-7707
Fax Number
781-275-1443
Bedford, MA 01730Get directions →

Provider Business Mailing Address Details

Address
504 Springs RD
Bedford, MA 01730-1199
City
Bedford
State
MA
Zip
01730-1199
Phone Number
781-275-2029
Fax Number
781-275-2881

License Information

License Number
14565
License State
MA
Taxonomy
Dentist, General Practice · 1223G0001X · 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. Oscar S Depriest IV, DMD?

The NPI number of Dr. Oscar S Depriest IV, DMD is 1811040546. It was assigned on January 18, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Oscar S Depriest IV, DMD?

Dr. Oscar S Depriest IV, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number 14565.

Where does Dr. Oscar S Depriest IV, DMD practice?

The practice location is 56 Great RD, Bedford, MA 01730-2120. The office can be reached at 781-275-7707 (phone) or 781-275-1443 (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 1811040546 directly on the NPPES registry website.

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