| Annisya Bagdonas, Dds, Pllc | |
|
851 Main St Ste 18 Weymouth MA 02190-1615 | |
| (617) 328-4050 | |
| Not Available |
| Full Name | Annisya Bagdonas, Dds, Pllc |
|---|---|
| Speciality | Durable Medical Equipment & Medical Supplies |
| Location | 851 Main St Ste 18, Weymouth, Massachusetts |
| Authorized Official Name and Position | Annisya Bagdonas (DIRECTOR) |
| Authorized Official Contact | 6173284050 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Annisya Bagdonas, Dds, Pllc 851 Main St Ste 18 Weymouth MA 02190-1615 Ph: () - | Annisya Bagdonas, Dds, Pllc 851 Main St Ste 18 Weymouth MA 02190-1615 Ph: (617) 328-4050 |
| NPI Number | 1538817101 |
|---|---|
| Provider Enumeration Date | 03/14/2022 |
| Last Update Date | 05/23/2022 |
| Medicare PECOS PAC ID | 9638556327 |
|---|---|
| Medicare Enrollment ID | O20220518002669 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538817101 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Primary |
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