| East Brewster Dental | |
|
11 Bay State Ct Brewster MA 02631-2120 | |
| (508) 255-0111 | |
| (508) 255-1160 |
| Full Name | East Brewster Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 11 Bay State Ct, Brewster, Massachusetts |
| Authorized Official Name and Position | Heather Pruemer (CREDENTIALING TEAM LEAD) |
| Authorized Official Contact | 2175408434 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Brewster Dental 11 Bay State Ct Brewster MA 02631-2120 Ph: (508) 255-0111 | East Brewster Dental 11 Bay State Ct Brewster MA 02631-2120 Ph: (508) 255-0111 |
| NPI Number | 1336394006 |
|---|---|
| Provider Enumeration Date | 11/23/2008 |
| Last Update Date | 03/30/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336394006 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 22060 (Massachusetts) | Secondary |
| 1223G0001X | Dentist - General Practice | (Massachusetts) | Primary |
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