| Cambridge Pediatric Dental Associates, P.c. | |
|
1749 Massachusetts Ave Cambridge MA 02140-2217 | |
| (617) 491-1161 | |
| Not Available |
| Full Name | Cambridge Pediatric Dental Associates, P.c. |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1749 Massachusetts Ave, Cambridge, Massachusetts |
| Authorized Official Name and Position | George Wellington Mceachern (PRESIDENT) |
| Authorized Official Contact | 6174911161 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cambridge Pediatric Dental Associates, P.c. 1749 Massachusetts Ave Cambridge MA 02140-2217 Ph: (617) 491-1161 | Cambridge Pediatric Dental Associates, P.c. 1749 Massachusetts Ave Cambridge MA 02140-2217 Ph: (617) 491-1161 |
| NPI Number | 1710030986 |
|---|---|
| Provider Enumeration Date | 01/19/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710030986 | NPI | - | NPPES |
| 9732985 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 10343 (Massachusetts) | Primary |
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