| Dover Dental Associares Pc | |
|
30 Springdale Ave. Dover MA 02030-0726 | |
| (508) 785-0356 | |
| (508) 785-0974 |
| Full Name | Dover Dental Associares Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 30 Springdale Ave., Dover, Massachusetts |
| Authorized Official Name and Position | Mai Phan (CLERK) |
| Authorized Official Contact | 5087850356 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dover Dental Associares Pc 30 Springdale Ave. Dover MA 02030-0726 Ph: (508) 078-5035 | Dover Dental Associares Pc 30 Springdale Ave. Dover MA 02030-0726 Ph: (508) 785-0356 |
| NPI Number | 1912178831 |
|---|---|
| Provider Enumeration Date | 03/19/2008 |
| Last Update Date | 03/19/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912178831 | NPI | - | NPPES |
| X11362 | Other | MA | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 9140 (Massachusetts) | Primary |
Mai T. Phan, D.m.d., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 30 Springdale Ave, Dover, MA 02030 Phone: 508-785-0356 Fax: 508-785-0974 |