| Brighton Family Dental Group Llp | |
|
77 Warren Street Brighton MA 02135-3601 | |
| (617) 562-5210 | |
| (617) 782-5049 |
| Full Name | Brighton Family Dental Group Llp |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 77 Warren Street, Brighton, Massachusetts |
| Authorized Official Name and Position | Thomas Michael Villani (OWNER) |
| Authorized Official Contact | 6175625212 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brighton Family Dental Group Llp 77 Warren Street Brighton MA 02135-3601 Ph: (617) 562-5210 | Brighton Family Dental Group Llp 77 Warren Street Brighton MA 02135-3601 Ph: (617) 562-5210 |
| NPI Number | 1598720278 |
|---|---|
| Provider Enumeration Date | 04/18/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598720278 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 16920 (Massachusetts) | Primary |
| 1223P0300X | Dentist - Periodontics | 14635 (Massachusetts) | Primary |
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