Doctor Name: | DR. ANNE MULLIN-KUCZMA |
NPI Number: | 1174763338 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.M.D. |
License Number: | 22117 |
Business Practice Address: | 223 Route 3a Suite 102 Cohasset, MA - 02025 |
Business Phone Number: | 7813830003 |
Business Fax Number: | |
Mailing Address: | 146 Cross St, NORWELL |
State: | MA |
Postal Code: | 020611420 |
Phone Number: | 6177928437 |
Fax Number: | |
NPI Enumeration Date: | 03/02/2009 |
NPI Last Update Date: | 10/10/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0221X |
License Number: | 22117 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Pediatric Dentistry |
Taxonomy Definition: | An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |