Jfs2dmd99pc | |
130 County Rd Ipswich MA 01938-2550 | |
(978) 356-0602 | |
(978) 356-8479 |
Full Name | Jfs2dmd99pc |
---|---|
Speciality | Dentist |
Location | 130 County Rd, Ipswich, Massachusetts |
Authorized Official Name and Position | James F Sorrento (OWNER/PRESIDENT) |
Authorized Official Contact | 9783560602 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Jfs2dmd99pc 130 County Rd Ipswich MA 01938-2550 Ph: (978) 356-0602 | Jfs2dmd99pc 130 County Rd Ipswich MA 01938-2550 Ph: (978) 356-0602 |
NPI Number | 1316444540 |
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Provider Enumeration Date | 04/13/2018 |
Last Update Date | 08/17/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316444540 | NPI | - | NPPES |
043468714 | Other | MA | GENERAL DENTIST |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (Massachusetts) | Primary |
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