Provider Demographics
NPI:1972732329
Name:HUPP, NATACHA MARIE (DMD)
Entity type:Individual
Prefix:DR
First Name:NATACHA
Middle Name:MARIE
Last Name:HUPP
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:NATACHA
Other - Middle Name:MARIE
Other - Last Name:TOUCHETTE-HUPP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:68 CHESTERTON RD.
Mailing Address - Street 2:
Mailing Address - City:WELLESLEY
Mailing Address - State:MA
Mailing Address - Zip Code:02481
Mailing Address - Country:US
Mailing Address - Phone:337-739-9792
Mailing Address - Fax:
Practice Address - Street 1:1098 MAIN ST.
Practice Address - Street 2:
Practice Address - City:MILLIS
Practice Address - State:MA
Practice Address - Zip Code:02054
Practice Address - Country:US
Practice Address - Phone:508-376-1116
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-07
Last Update Date:2018-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA106101223P0221X
MADN18557841223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry