| Main Street Dental | |
|
207 Upper Main St Edgartown MA 02539-5927 | |
| (508) 939-9000 | |
| (508) 939-8537 |
| Full Name | Main Street Dental |
|---|---|
| Speciality | Dentist |
| Location | 207 Upper Main St, Edgartown, Massachusetts |
| Authorized Official Name and Position | John Clyde Hartley (OWNER) |
| Authorized Official Contact | 5089399000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Main Street Dental Po Box 2135 Edgartown MA 02539-2135 Ph: (508) 939-9000 | Main Street Dental 207 Upper Main St Edgartown MA 02539-5927 Ph: (508) 939-9000 |
| NPI Number | 1124359773 |
|---|---|
| Provider Enumeration Date | 01/21/2010 |
| Last Update Date | 01/21/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124359773 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 19314 (Massachusetts) | Primary |
Edgartown Dental Group Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 207 Upper Main St, Edgartown, MA 02539 Phone: 508-939-9000 | |
Island Health Care Dental Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Mariners Lndg Unit D, Edgartown, MA 02539 Phone: 508-627-5797 Fax: 508-939-8644 |