Provider Demographics
NPI:1972581023
Name:DIMAURO, NICHOLAS JOSEPH (DDS)
Entity Type:Individual
Prefix:DR
First Name:NICHOLAS
Middle Name:JOSEPH
Last Name:DIMAURO
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 1:100 S MAIN ST
Mailing Address - Street 2:SUITE 100 B
Mailing Address - City:MIDDLETON
Mailing Address - State:MA
Mailing Address - Zip Code:01949-2211
Mailing Address - Country:US
Mailing Address - Phone:978-777-8722
Mailing Address - Fax:978-777-9223
Practice Address - Street 1:100 S MAIN ST
Practice Address - Street 2:SUITE 100 B
Practice Address - City:MIDDLETON
Practice Address - State:MA
Practice Address - Zip Code:01949-2211
Practice Address - Country:US
Practice Address - Phone:978-777-8722
Practice Address - Fax:978-777-9223
Is Sole Proprietor?:No
Enumeration Date:2006-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA170351223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice