Provider Demographics
NPI:1073734802
Name:VALENTE, MARCIA L (DMD)
Entity Type:Individual
Prefix:DR
First Name:MARCIA
Middle Name:L
Last Name:VALENTE
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 250
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01540
Mailing Address - Country:US
Mailing Address - Phone:508-987-8125
Mailing Address - Fax:508-987-2187
Practice Address - Street 1:467 MAIN ST
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:MA
Practice Address - Zip Code:01540
Practice Address - Country:US
Practice Address - Phone:508-987-8125
Practice Address - Fax:508-987-2187
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA165041223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice