| Dininno Family Dental, Inc. | |
|
931 South St Fitchburg MA 01420-7019 | |
| (978) 342-8710 | |
| Not Available |
| Full Name | Dininno Family Dental, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 931 South St, Fitchburg, Massachusetts |
| Authorized Official Name and Position | Nicholas J. Dininno (PRESIDENT) |
| Authorized Official Contact | 9783428710 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dininno Family Dental, Inc. 931 South St Fitchburg MA 01420-7019 Ph: (978) 342-8710 | Dininno Family Dental, Inc. 931 South St Fitchburg MA 01420-7019 Ph: (978) 342-8710 |
| NPI Number | 1396916060 |
|---|---|
| Provider Enumeration Date | 03/20/2008 |
| Last Update Date | 01/28/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396916060 | NPI | - | NPPES |
| 110009851A | Medicaid | MA | |
| 110092868A | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 13917 (Massachusetts) | Secondary |
| 1223G0001X | Dentist - General Practice | DN1855976 (Massachusetts) | Primary |
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