| John J. Caravolas, D.d.s., P.c. | |
|
20 Hope Ave Suite 306 Waltham MA 02453-2721 | |
| (781) 647-0804 | |
| (781) 647-6730 |
| Full Name | John J. Caravolas, D.d.s., P.c. |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 20 Hope Ave, Waltham, Massachusetts |
| Authorized Official Name and Position | John J. Caravolas (OWNER) |
| Authorized Official Contact | 7816470804 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John J. Caravolas, D.d.s., P.c. 471 Dedham St Newton Centre MA 02459-3317 Ph: (617) 964-5313 | John J. Caravolas, D.d.s., P.c. 20 Hope Ave Suite 306 Waltham MA 02453-2721 Ph: (781) 647-0804 |
| NPI Number | 1548387251 |
|---|---|
| Provider Enumeration Date | 03/26/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548387251 | NPI | - | NPPES |
| 0257524 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 14429 (Massachusetts) | Primary |
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