Roland P Duprey, DMD
Individual provider Active NPI General Practice Dentistry · Marshfield, MA
NPI 1841348232 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1841348232
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 9829 (MA)
- Practice address
- One Snow Rd
Marshfield, MA 02050 - Phone
- (781) 834-6635
- Fax
- (781) 837-4381
- NPI assigned
- Jan 8, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160525000799 | MA | Order and Referring Only - Dentist |
5092004432 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9829 | MA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bay Family Dentistry, PLLC | General Practice | Past |
Accepting new patients |
| Family Dentistry | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 9829 | MA | Yes |
Addresses
Primary practice location
One Snow Rd
Marshfield, MA 02050
Mailing address
One Snow Rd
Marshfield, MA 02050
Phone (781) 834-6635
Other providers in Marshfield, MA
- Dr Butts Orthodontics PC
- Dr. Leo Donovan
- Michelle Lynne Dresser
- Kimberly Duane
- Adrien Duncan
- Stephanie Anne Durell
- Kristy Marie Dwyer
- Barbara S. Ellis
- Brian Fallon
- Family Dentistry
All providers in Marshfield, MA · General Practice Dentistry in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.