Provider Demographics
NPI:1396967683
Name:PAUL A MIGLIOZZI JR., D.D.S.
Entity type:Organization
Organization Name:PAUL A MIGLIOZZI JR., D.D.S.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:A
Authorized Official - Last Name:MIGLIOZZI
Authorized Official - Suffix:JR
Authorized Official - Credentials:DDS
Authorized Official - Phone:978-582-6450
Mailing Address - Street 1:585 MASSACHUSETTS AVENUE
Mailing Address - Street 2:
Mailing Address - City:LUNENBURG
Mailing Address - State:MA
Mailing Address - Zip Code:01462-1305
Mailing Address - Country:US
Mailing Address - Phone:978-582-6450
Mailing Address - Fax:978-582-0405
Practice Address - Street 1:585 MASSACHUSETTS AVENUE
Practice Address - Street 2:
Practice Address - City:LUNENBURG
Practice Address - State:MA
Practice Address - Zip Code:01462-1305
Practice Address - Country:US
Practice Address - Phone:978-582-6450
Practice Address - Fax:978-582-0405
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA126201223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty