| Alpha Plus Dental Center | |
|
185 Harvard Street Brookline MA 02446-5013 | |
| (617) 274-8494 | |
| (617) 277-7333 |
| Full Name | Alpha Plus Dental Center |
|---|---|
| Speciality | Dentist |
| Location | 185 Harvard Street, Brookline, Massachusetts |
| Authorized Official Name and Position | Stanislav Kovtun (OWNER) |
| Authorized Official Contact | 6172776360 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alpha Plus Dental Center 185 Harvard Street Brookline MA 02446-5013 Ph: (617) 277-6360 | Alpha Plus Dental Center 185 Harvard Street Brookline MA 02446-5013 Ph: (617) 274-8494 |
| NPI Number | 1902931686 |
|---|---|
| Provider Enumeration Date | 02/22/2007 |
| Last Update Date | 10/27/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902931686 | NPI | - | NPPES |
| 0278238 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN1856247 (Massachusetts) | Primary |
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