Provider Demographics
NPI:1073572517
Name:KLEPACZ, MARGARET GRACE (DDS)
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:GRACE
Last Name:KLEPACZ
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 MOHAWK DR
Mailing Address - Street 2:
Mailing Address - City:ACTON
Mailing Address - State:MA
Mailing Address - Zip Code:01720-2343
Mailing Address - Country:US
Mailing Address - Phone:978-635-1181
Mailing Address - Fax:
Practice Address - Street 1:118 GREAT RD
Practice Address - Street 2:
Practice Address - City:STOW
Practice Address - State:MA
Practice Address - Zip Code:01775-1190
Practice Address - Country:US
Practice Address - Phone:978-897-9342
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-22
Last Update Date:2011-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA195071223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAX11703OtherBLUE CROSS BLUE SHIELD