Provider Demographics
NPI:1598829871
Name:MAGUIRE, ROBERT MORAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:MORAN
Last Name:MAGUIRE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:376 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WOLFEBORO
Mailing Address - State:NH
Mailing Address - Zip Code:03894-4312
Mailing Address - Country:US
Mailing Address - Phone:603-569-1140
Mailing Address - Fax:603-569-7793
Practice Address - Street 1:376 N MAIN ST
Practice Address - Street 2:
Practice Address - City:WOLFEBORO
Practice Address - State:NH
Practice Address - Zip Code:03894-4312
Practice Address - Country:US
Practice Address - Phone:603-569-1140
Practice Address - Fax:603-569-7793
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH20711223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice