| Brain Dental Pllc | |
|
400 Washington St Ste 304 Braintree MA 02184-4768 | |
| (781) 848-2775 | |
| Not Available |
| Full Name | Brain Dental Pllc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 400 Washington St Ste 304, Braintree, Massachusetts |
| Authorized Official Name and Position | William Scott Lightfoot (OWNER) |
| Authorized Official Contact | 6177800565 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brain Dental Pllc 10 Shipyard Dr Apt 206 Hingham MA 02043-1680 Ph: (617) 780-0565 | Brain Dental Pllc 400 Washington St Ste 304 Braintree MA 02184-4768 Ph: (781) 848-2775 |
| NPI Number | 1598485484 |
|---|---|
| Provider Enumeration Date | 08/31/2022 |
| Last Update Date | 08/31/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598485484 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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