| Endodontic Practice Partners Ma Pllc | |
|
1 Brookline Pl Ste 505 Brookline MA 02445-7277 | |
| (617) 735-8500 | |
| Not Available |
| Full Name | Endodontic Practice Partners Ma Pllc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 1 Brookline Pl Ste 505, Brookline, Massachusetts |
| Authorized Official Name and Position | Cathy Cluett (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 3153997433 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Endodontic Practice Partners Ma Pllc Po Box 1584 Brentwood TN 37024-1584 Ph: (615) 422-6700 | Endodontic Practice Partners Ma Pllc 1 Brookline Pl Ste 505 Brookline MA 02445-7277 Ph: (617) 735-8500 |
| NPI Number | 1023687258 |
|---|---|
| Provider Enumeration Date | 06/22/2021 |
| Last Update Date | 03/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023687258 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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