| Mattapan Community Health Center | |
|
1575 Blue Hill Ave Mattapan MA 02126-2122 | |
| (617) 296-0061 | |
| Not Available |
| Full Name | Mattapan Community Health Center |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1575 Blue Hill Ave, Mattapan, Massachusetts |
| Authorized Official Name and Position | Henry Workman (DIRECTOR) |
| Authorized Official Contact | 6178989041 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mattapan Community Health Center 1575 Blue Hill Ave Mattapan MA 02126-2122 Ph: () - | Mattapan Community Health Center 1575 Blue Hill Ave Mattapan MA 02126-2122 Ph: (617) 296-0061 |
| NPI Number | 1962889162 |
|---|---|
| Provider Enumeration Date | 04/27/2015 |
| Last Update Date | 04/27/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962889162 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 88716 (Massachusetts) | Primary |
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Mattapan Dental, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 542 River St, Mattapan, MA 02126 Phone: 781-400-5920 | |
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