Provider Demographics
NPI:1073625281
Name:DUBANOSKI, JOSEPH ANTHONY III (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:ANTHONY
Last Name:DUBANOSKI
Suffix:III
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:40 CHESTNUT ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:DOVER
Mailing Address - State:NH
Mailing Address - Zip Code:03820-3392
Mailing Address - Country:US
Mailing Address - Phone:603-742-4735
Mailing Address - Fax:603-742-9911
Practice Address - Street 1:40 CHESTNUT ST
Practice Address - Street 2:SUITE 2
Practice Address - City:DOVER
Practice Address - State:NH
Practice Address - Zip Code:03820-3392
Practice Address - Country:US
Practice Address - Phone:603-742-4735
Practice Address - Fax:603-742-9911
Is Sole Proprietor?:No
Enumeration Date:2006-09-01
Last Update Date:2018-12-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NH1914122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH0206020Y0NH01OtherBCBS
ME273740099Medicaid