| Eugene A Mickey, Dmd, Mph, Pc | |
|
67 Montvale Ave Suite 101 Stoneham MA 02180-3618 | |
| (781) 279-2400 | |
| (781) 279-4640 |
| Full Name | Eugene A Mickey, Dmd, Mph, Pc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 67 Montvale Ave, Stoneham, Massachusetts |
| Authorized Official Name and Position | Lisa A Field (OFFICE MANAGER) |
| Authorized Official Contact | 7812792400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eugene A Mickey, Dmd, Mph, Pc 67 Montvale Ave Suite 101 Stoneham MA 02180-3618 Ph: (781) 279-2400 | Eugene A Mickey, Dmd, Mph, Pc 67 Montvale Ave Suite 101 Stoneham MA 02180-3618 Ph: (781) 279-2400 |
| NPI Number | 1396829180 |
|---|---|
| Provider Enumeration Date | 10/25/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396829180 | NPI | - | NPPES |
| 38861 | Other | MA | HPHC |
| 659373 | Other | PA | UNITED CONCORDIA |
| X10967 | Other | MA | BCBSMA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 14275 (Massachusetts) | Primary |
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