| Joseph P Nore Dds Inc | |
|
586 Tremont St Boston MA 02118 | |
| (617) 267-3334 | |
| (617) 450-0656 |
| Full Name | Joseph P Nore Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 586 Tremont St, Boston, Massachusetts |
| Authorized Official Name and Position | Joseph P Nore (PRESIDENT) |
| Authorized Official Contact | 6172673334 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph P Nore Dds Inc Po Box 320225 West Roxbury MA 02132 Ph: () - | Joseph P Nore Dds Inc 586 Tremont St Boston MA 02118 Ph: (617) 267-3334 |
| NPI Number | 1083759922 |
|---|---|
| Provider Enumeration Date | 02/20/2007 |
| Last Update Date | 05/30/2017 |
| Medicare PECOS PAC ID | 3476839135 |
|---|---|
| Medicare Enrollment ID | O20170411002483 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083759922 | NPI | - | NPPES |
| 1992716468 | Other | INDIVIDUAL NPI | |
| 9786147 | Other | MASS HEALTH GP NUMBER | |
| 0252832 | Medicaid | MA | |
| X11952 | Other | BCBS MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 14035 (Massachusetts) | Primary |
| Provider Name | Joseph Paul Nore |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1992716468 PECOS PAC ID: 9436455011 Enrollment ID: I20170413002522 |
| Provider Name | Sarah Stipho |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1174783054 PECOS PAC ID: 7214258060 Enrollment ID: I20170523001146 |
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