Provider Demographics
NPI:1902013782
Name:EPSTEIN, GERALD S (DDS)
Entity Type:Individual
Prefix:DR
First Name:GERALD
Middle Name:S
Last Name:EPSTEIN
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 1:18 LANTERN RD
Mailing Address - Street 2:
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01702-5538
Mailing Address - Country:US
Mailing Address - Phone:508-875-6513
Mailing Address - Fax:508-756-1700
Practice Address - Street 1:18 LANTERN RD.
Practice Address - Street 2:
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01702-5538
Practice Address - Country:US
Practice Address - Phone:508-875-6513
Practice Address - Fax:508-756-1700
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2007-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA103811223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice