Bourne Dental Associates | |
1 Technology Park Drive Suite C Bourne MA 02532-8336 | |
(508) 759-2724 | |
(508) 759-1402 |
Full Name | Bourne Dental Associates |
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Speciality | Dentist - Pediatric Dentistry |
Location | 1 Technology Park Drive, Bourne, Massachusetts |
Authorized Official Name and Position | Jeffrey J Glavin (PRESIDENT) |
Authorized Official Contact | 5087592724 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Bourne Dental Associates 1 Technology Park Drive Suite C Bourne MA 02532-8336 Ph: (508) 759-2724 | Bourne Dental Associates 1 Technology Park Drive Suite C Bourne MA 02532-8336 Ph: (508) 759-2724 |
NPI Number | 1265507347 |
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Provider Enumeration Date | 11/22/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265507347 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 16303 (Massachusetts) | Primary |
1223P0221X | Dentist - Pediatric Dentistry | 71063 (Massachusetts) | Primary |
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