| James Park D.m.d | |
|
44 Everett St Southbridge MA 01550-2620 | |
| (508) 764-4600 | |
| (508) 765-5862 |
| Full Name | James Park D.m.d |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 44 Everett St, Southbridge, Massachusetts |
| Authorized Official Name and Position | James Park (DENTIST) |
| Authorized Official Contact | 5087644600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| James Park D.m.d 44 Everett St Southbridge MA 01550-2620 Ph: (508) 764-4600 | James Park D.m.d 44 Everett St Southbridge MA 01550-2620 Ph: (508) 764-4600 |
| NPI Number | 1669964839 |
|---|---|
| Provider Enumeration Date | 06/04/2018 |
| Last Update Date | 06/04/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669964839 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN1856630 (Massachusetts) | Primary |
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James Park D.m.d Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 44 Everett St, Southbridge, MA 01550 Phone: 508-764-4600 Fax: 508-765-5862 |