Baystate Family Dental | |
9 Halmstad St Worcester MA 01607-1519 | |
(508) 792-6807 | |
(508) 792-6804 |
Full Name | Baystate Family Dental |
---|---|
Speciality | Dentist |
Location | 9 Halmstad St, Worcester, Massachusetts |
Authorized Official Name and Position | Sami E Nassar (PRESIDENT) |
Authorized Official Contact | 5087926807 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Baystate Family Dental 9 Halmstad St Worcester MA 01607-1519 Ph: (508) 792-6807 | Baystate Family Dental 9 Halmstad St Worcester MA 01607-1519 Ph: (508) 792-6807 |
NPI Number | 1184849986 |
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Provider Enumeration Date | 04/16/2007 |
Last Update Date | 06/18/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184849986 | NPI | - | NPPES |
250859743 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 19194 (Massachusetts) | Primary |
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