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Contact Information

MARYJANE VAILLANCOURT, DMD
33 JAMES REYNOLDS RD
SWANSEA, MA02777-3429
 Phone: 508-379-0272
 Fax: 508-379-0272
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for MARYJANE VAILLANCOURT · (Female)

NPI Number 1013071729
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 12/20/2006
Last updated 07/08/2007 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • MA License # 16896
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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