| Kenneth H Titel Dmd Pc | |
|
101 Brooksby Village Dr Peabody MA 01960-1448 | |
| (978) 536-7909 | |
| (978) 536-7911 |
| Full Name | Kenneth H Titel Dmd Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 101 Brooksby Village Dr, Peabody, Massachusetts |
| Authorized Official Name and Position | Kenneth Harvey Titel (OWNER) |
| Authorized Official Contact | 9785367909 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth H Titel Dmd Pc 101 Brooksby Village Dr Peabody MA 01960 Ph: (978) 536-7909 | Kenneth H Titel Dmd Pc 101 Brooksby Village Dr Peabody MA 01960-1448 Ph: (978) 536-7909 |
| NPI Number | 1477755536 |
|---|---|
| Provider Enumeration Date | 06/01/2007 |
| Last Update Date | 07/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477755536 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | MA18572 (Massachusetts) | Secondary |
| 1223G0001X | Dentist - General Practice | MA18572 (Massachusetts) | Primary |
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