Provider Demographics
NPI:1881114858
Name:MARCOVICI, JUDITH (DMD)
Entity type:Individual
Prefix:DR
First Name:JUDITH
Middle Name:
Last Name:MARCOVICI
Suffix:
Gender:
Credentials:DMD
Other - Prefix:DR
Other - First Name:JUDITH
Other - Middle Name:
Other - Last Name:ABLES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DMD
Mailing Address - Street 1:110 SPRING ST
Mailing Address - Street 2:
Mailing Address - City:WAKEFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01880-3667
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:291 MAIN ST
Practice Address - Street 2:
Practice Address - City:NORTH READING
Practice Address - State:MA
Practice Address - Zip Code:01864-1301
Practice Address - Country:US
Practice Address - Phone:978-222-7727
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-21
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN18575631223G0001X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice