Provider Demographics
NPI:1871600130
Name:CALABRESE, MICHAEL JOSEPH (DMD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:JOSEPH
Last Name:CALABRESE
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:850 SPRINGFIELD ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:FEEDING HILLS
Mailing Address - State:MA
Mailing Address - Zip Code:01030-2243
Mailing Address - Country:US
Mailing Address - Phone:413-786-0555
Mailing Address - Fax:413-821-0890
Practice Address - Street 1:850 SPRINGFIELD ST
Practice Address - Street 2:SUITE 2
Practice Address - City:FEEDING HILLS
Practice Address - State:MA
Practice Address - Zip Code:01030-2243
Practice Address - Country:US
Practice Address - Phone:413-786-0555
Practice Address - Fax:413-821-0890
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-24
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA176901223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice