Provider Demographics
NPI:1053426676
Name:DRUCKER, DAVID M (DDS)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:M
Last Name:DRUCKER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 FRANKLIN STREET
Mailing Address - Street 2:
Mailing Address - City:WATERTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02472-2243
Mailing Address - Country:US
Mailing Address - Phone:617-924-7531
Mailing Address - Fax:
Practice Address - Street 1:491 MAIN STREET
Practice Address - Street 2:
Practice Address - City:WATERTOWN
Practice Address - State:MA
Practice Address - Zip Code:02472-2243
Practice Address - Country:US
Practice Address - Phone:617-923-9202
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA11398122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist