| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 16 Snow Rd, Marshfield, Massachusetts |
| Authorized Official Name and Position | Tiffany Mcadams (PRESIDENT) |
| Authorized Official Contact | 7815364051 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
16 Snow Rd Marshfield MA 02050 Ph: (781) 536-4051 | 16 Snow Rd Marshfield MA 02050 Ph: (781) 536-4051 |
| NPI Number | 1740706134 |
|---|---|
| Provider Enumeration Date | 08/17/2017 |
| Last Update Date | 07/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740706134 | NPI | - | NPPES |
| 110079373A | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN22095 (Massachusetts) | Primary |
Bastien Dental, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 462 Plain St, Suite 103, Marshfield, MA 02050 Phone: 781-837-3700 | |
David A Schmid Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 435 Furnace Street, Marshfield, MA 02050 Phone: 781-837-1810 Fax: 781-837-8444 | |
Marshfield Dentistry Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 696 Plain St, Suite 2, Marshfield, MA 02050 Phone: 781-837-1961 | |
Monika J. Pronczuk, Dmd, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 465 Furnace St, Marshfield, MA 02050 Phone: 781-834-8969 Fax: 781-834-0052 | |