Dillaway, Gregg Russell

Dillaway, Gregg Russell is an individual health care provider with primary practice located at 30 Colpitts Rd , Weston MA 02493-1534. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Dillaway, Gregg Russell can be contacted via phone (781) 899-5084.

Contact Information

Primary practice address
30 Colpitts Rd Weston MA 02493-1534
Phone: (781) 899-5084
Fax: (781) 642-0609
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 17525 Massachusetts

Profile Details

NPI number 1942305719
LBN Legal business name Dillaway, Gregg Russell
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2006
Last updated Mar 7th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942305719 NPPES
Massachusetts Other X06467DI BCBS PROVIDER
Massachusetts Other 807 BCBS PROVIDER
Massachusetts Other 17525 BCBS PROVIDER

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