Individual provider · Type 1 NPI

Edward Stephen Radivonyk Jr., DMD

General Practice Dentistry · Fitchburg, MA

NPI number 1336205699 Active

Practice location

637 Main Street
Fitchburg, MA 01420-3107

Call (978) 342-2222 Map

Fax (978) 342-1292

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XDN16221 (MA)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1336205699

Edward Stephen Radivonyk Jr., DMD's National Provider Identifier is 1336205699, issued on Dec 29, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Fitchburg, MA. The record was last updated on Jul 8, 2007.