| John J Millette Dmd Pc Sole Mbr | |
|
119 S Main St Leicester MA 01524-1403 | |
| (508) 892-4882 | |
| (508) 892-4279 |
| Full Name | John J Millette Dmd Pc Sole Mbr |
|---|---|
| Speciality | Dentist |
| Location | 119 S Main St, Leicester, Massachusetts |
| Authorized Official Name and Position | John J Millette (OWNER) |
| Authorized Official Contact | 5088873896 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John J Millette Dmd Pc Sole Mbr 119 S Main St Leicester MA 01524-1403 Ph: (508) 892-9417 | John J Millette Dmd Pc Sole Mbr 119 S Main St Leicester MA 01524-1403 Ph: (508) 892-4882 |
| NPI Number | 1437524824 |
|---|---|
| Provider Enumeration Date | 12/10/2015 |
| Last Update Date | 12/15/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437524824 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 17984 (Massachusetts) | Primary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Secondary |
Leicester Dental Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 119 S Main St, Leicester, MA 01524 Phone: 508-892-4882 Fax: 508-892-4279 |