| Jay M. Decoteau, D.m.d., P.c. | |
|
300 Main St Groton MA 01450-1234 | |
| (978) 448-2300 | |
| (978) 448-8050 |
| Full Name | Jay M. Decoteau, D.m.d., P.c. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 300 Main St, Groton, Massachusetts |
| Authorized Official Name and Position | Jay M. Decoteau (PRESIDENT) |
| Authorized Official Contact | 9784482300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jay M. Decoteau, D.m.d., P.c. 300 Main St Groton MA 01450-1234 Ph: (978) 448-2300 | Jay M. Decoteau, D.m.d., P.c. 300 Main St Groton MA 01450-1234 Ph: (978) 448-2300 |
| NPI Number | 1194939223 |
|---|---|
| Provider Enumeration Date | 05/09/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194939223 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 16575 (Massachusetts) | Primary |
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