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Dr. Gregg Russell Dillaway, DMD
General Practice Dentistry in Weston, Massachusetts
NPI 1942305719

Gregg Russell Dillaway is a General Practice Dentistry based in Weston, MA and is specialized in General Practice. Gregg Russell Dillaway practices in Weston, MA and has the professional credentials of DMD. The NPI Number for Gregg Russell Dillaway is 1942305719 and holds a License No. 17525 (Massachusetts).

The current practice location address for Gregg Russell Dillaway is 30 Colpitts Rd, Weston, MA and can be reached out via phone at 781-899-5084 and via fax at 781-642-0609.

Location: 30 Colpitts Rd, Weston, MA, 02493-0001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942305719
Provider Name
Gregg Russell Dillaway
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
30 Colpitts Rd, Weston, MA, 02493-0001
Phone Number
781-899-5084
Fax Number
781-642-0609
Provider Enumeration Date
09/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
X06467DI 01 MA BCBS PROVIDER
807 01 MA DELTA DENTAL PROVIDER
17525 01 MA MA STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
30 Colpitts Rd
City
Weston
State
Massachusetts
Zip
02493-1534
Phone Number
781-899-5084
Fax Number
781-642-0609
person
Provider Business Mailing Address Details
Address
30 Colpitts Rd
City
Weston
State
Massachusetts
Zip
02493-1534
Phone Number
781-899-5084
Fax Number
781-642-0609
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
17525 (Massachusetts)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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