| Blackstone Family Dental | |
|
160 Worcester Providence Tpke Suie # 16 Sutton MA 01590-2901 | |
| (312) 237-6260 | |
| Not Available |
| Full Name | Blackstone Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 160 Worcester Providence Tpke, Sutton, Massachusetts |
| Authorized Official Name and Position | Tiffany Noel Glasier (PRESIDENT) |
| Authorized Official Contact | 3122376260 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blackstone Family Dental 160 Worcester Providence Tpke Suie # 16 Sutton MA 01590-2901 Ph: (312) 237-6260 | Blackstone Family Dental 160 Worcester Providence Tpke Suie # 16 Sutton MA 01590-2901 Ph: (312) 237-6260 |
| NPI Number | 1215175005 |
|---|---|
| Provider Enumeration Date | 02/02/2009 |
| Last Update Date | 02/02/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215175005 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 21308 (Massachusetts) | Primary |
Pleasant Valley Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 22 Galaxy Pass, Unit A, Sutton, MA 01590 Phone: 508-372-0019 | |
Sutton Children's Dentistry And Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 27 Galaxy Pass, Sutton, MA 01590 Phone: 401-828-1171 |