| Dr. Dental Of Methuen, Pc | |
|
162 Haverhill St Methuen MA 01844-3462 | |
| (617) 887-2100 | |
| (617) 887-2102 |
| Full Name | Dr. Dental Of Methuen, Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 162 Haverhill St, Methuen, Massachusetts |
| Authorized Official Name and Position | Chris Incollingo (MANAGER) |
| Authorized Official Contact | 6178872100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Dental Of Methuen, Pc 162 Haverhill St Methuen MA 01844-3462 Ph: (617) 887-2100 | Dr. Dental Of Methuen, Pc 162 Haverhill St Methuen MA 01844-3462 Ph: (617) 887-2100 |
| NPI Number | 1083907406 |
|---|---|
| Provider Enumeration Date | 05/18/2011 |
| Last Update Date | 05/18/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083907406 | NPI | - | NPPES |
| 9794395 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 20485 (Massachusetts) | Primary |
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