| Healthdrive Dental Group | |
|
100 Crossing Blvd Suite 300 Framingham MA 01702-5555 | |
| (617) 964-6681 | |
| (339) 686-2561 |
| Full Name | Healthdrive Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 100 Crossing Blvd, Framingham, Massachusetts |
| Authorized Official Name and Position | Alec H. Jaret (OWNER/PRESIDENT) |
| Authorized Official Contact | 6179646681 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthdrive Dental Group 100 Crossing Blvd Suite 300 Framingham MA 01702-5555 Ph: (617) 964-6681 | Healthdrive Dental Group 100 Crossing Blvd Suite 300 Framingham MA 01702-5555 Ph: (617) 964-6681 |
| NPI Number | 1457393142 |
|---|---|
| Provider Enumeration Date | 06/10/2006 |
| Last Update Date | 08/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457393142 | NPI | - | NPPES |
| X10490 | Other | MA | BLUE CROSS BLUE SHIELD |
| 0055906 | Medicaid | OH | |
| 9760059 | Medicaid | MA | |
| 1457393142 | Medicaid | MI | |
| 638564 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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