Montez Delver Hallback, DMD

General Practice Dentistry · Auburn, MA

Individual Active NPI

NPI number 1477398196

Practice location

434 Southbridge St Ste B
Auburn, MA 01501-4423
Phone
(508) 752-6649

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NPI record

NPI
1477398196
Entity type
Individual (Type 1)
Enumeration date
June 25, 2024
Last updated
November 19, 2024
Certified
November 19, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 0401419233 VA

About Dr. Hallback

Montez Delver Hallback, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 434 Southbridge St Ste B, Auburn, MA 01501-4423. The NPI number 1477398196 was assigned on June 25, 2024 and the record was last updated on November 19, 2024.

Dr. Hallback lists a license in the registry: #0401419233 (VA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Montez Delver Hallback, DMD?

The NPI number is 1477398196.

What is the phone number of Dr. Hallback?

The phone number listed for the practice location is (508) 752-6649.

Where is Dr. Hallback located?

434 Southbridge St Ste B, Auburn, MA 01501-4423.

What is the taxonomy code for Dr. Hallback?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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