Provider Demographics
NPI:1992003859
Name:MARC J.MAGIER, D.M.D.,P.C.
Entity Type:Organization
Organization Name:MARC J.MAGIER, D.M.D.,P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARC
Authorized Official - Middle Name:J
Authorized Official - Last Name:MAGIER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:781-455-6226
Mailing Address - Street 1:105 CHESTNUT ST
Mailing Address - Street 2:SUITE 25
Mailing Address - City:NEEDHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02492-2599
Mailing Address - Country:US
Mailing Address - Phone:781-455-6226
Mailing Address - Fax:
Practice Address - Street 1:105 CHESTNUT ST
Practice Address - Street 2:SUITE 25
Practice Address - City:NEEDHAM
Practice Address - State:MA
Practice Address - Zip Code:02492-2599
Practice Address - Country:US
Practice Address - Phone:781-455-6226
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-02
Last Update Date:2011-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA169431223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty