Groton Dental Wellness Center | |
495 Main Street Groton MA 01450 | |
(978) 449-9919 | |
(978) 449-9929 |
Full Name | Groton Dental Wellness Center |
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Speciality | Dentist |
Location | 495 Main Street, Groton, Massachusetts |
Authorized Official Name and Position | Jean M Nordin-evans (OWNER) |
Authorized Official Contact | 9784499919 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Groton Dental Wellness Center 495 Main Street Groton MA 01450 Ph: (978) 449-9919 | Groton Dental Wellness Center 495 Main Street Groton MA 01450 Ph: (978) 449-9919 |
NPI Number | 1629231709 |
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Provider Enumeration Date | 07/08/2008 |
Last Update Date | 07/08/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629231709 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
124Q00000X | Dental Hygienist | (* (Not Available)) | Secondary |
126800000X | Dental Assistant | (* (Not Available)) | Secondary |
Kindred Smiles Pediatric Dentistry Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Main St, Groton, MA 01450 Phone: 978-448-8400 | |
Jay M. Decoteau, D.m.d., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Main St, Groton, MA 01450 Phone: 978-448-2300 Fax: 978-448-8050 | |
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