Provider Demographics
NPI:1730176603
Name:EPSTEIN, PAUL DAVID (DMD)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:DAVID
Last Name:EPSTEIN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:265 WINN ST
Mailing Address - Street 2:SUITE 204
Mailing Address - City:BURLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:01803-2616
Mailing Address - Country:US
Mailing Address - Phone:781-273-1152
Mailing Address - Fax:781-273-4700
Practice Address - Street 1:265 WINN ST
Practice Address - Street 2:SUITE 204
Practice Address - City:BURLINGTON
Practice Address - State:MA
Practice Address - Zip Code:01803-2616
Practice Address - Country:US
Practice Address - Phone:781-273-1152
Practice Address - Fax:781-273-4700
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-05
Last Update Date:2013-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA122101223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice