Provider Demographics
NPI:1982864385
Name:WERMAN, JULIE LAUENGER (DMD)
Entity Type:Individual
Prefix:DR
First Name:JULIE
Middle Name:LAUENGER
Last Name:WERMAN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:ELLEN
Other - Last Name:LAUENGER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:61 EDGELL RD
Mailing Address - Street 2:
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01701-4834
Mailing Address - Country:US
Mailing Address - Phone:508-872-9339
Mailing Address - Fax:
Practice Address - Street 1:61 EDGELL RD
Practice Address - Street 2:
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01701-4834
Practice Address - Country:US
Practice Address - Phone:508-872-9339
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-10
Last Update Date:2013-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN1855090122300000X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice