| Dedham Medical Assoc Inc | |
|
1 Lyons St Dedham MA 02026-5599 | |
| (781) 329-1400 | |
| (781) 278-5667 |
| Full Name | Dedham Medical Assoc Inc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1 Lyons St, Dedham, Massachusetts |
| Authorized Official Name and Position | Richard M Russo (CFO) |
| Authorized Official Contact | 7812785540 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dedham Medical Assoc Inc Po Box 9120 Dedham MA 02027-9120 Ph: (781) 329-1400 | Dedham Medical Assoc Inc 1 Lyons St Dedham MA 02026-5599 Ph: (781) 329-1400 |
| NPI Number | 1205836376 |
|---|---|
| Provider Enumeration Date | 07/29/2005 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205836376 | NPI | - | NPPES |
| 9766618 | Medicaid | MA | |
| 9766553 | Medicaid | MA | |
| 9766561 | Medicaid | MA | |
| 9766529 | Medicaid | MA | |
| 9766596 | Medicaid | MA | |
| 9766626 | Medicaid | MA | |
| 9766634 | Medicaid | MA | |
| 9766537 | Medicaid | MA | |
| 9766545 | Medicaid | MA | |
| 9766588 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (Massachusetts) | Primary |
Amanda A. Cardinale, Dmd, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Bridge St, Dedham, MA 02026 Phone: 781-329-7600 | |
Clara Patricia Vargas D.m.d. Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 263 Washington St, Dedham, MA 02026 Phone: 781-251-0550 | |
Dedham Medical Assoc Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Lyons St, Dedham, MA 02026 Phone: 781-329-1400 Fax: 781-278-5667 | |
Aspen Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 162 Providence Hwy, Dedham, MA 02026 Phone: 781-461-0666 | |
Dr Anna Vishart Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 418 Washington St, Dedham, MA 02026 Phone: 781-471-7934 Fax: 781-686-9804 | |
Jmb Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 162 Providence Hwy, Dedham, MA 02026 Phone: 781-461-0666 |