| Neponset Dental Associates | |
|
97 Neponset Ave Dorchester MA 02122-3322 | |
| (617) 471-2898 | |
| (617) 265-6437 |
| Full Name | Neponset Dental Associates |
|---|---|
| Speciality | Dentist |
| Location | 97 Neponset Ave, Dorchester, Massachusetts |
| Authorized Official Name and Position | Gary M Stiller (DENTIST) |
| Authorized Official Contact | 6172656556 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neponset Dental Associates 97 Neponset Ave Dorchester MA 02122-3322 Ph: (617) 471-2898 | Neponset Dental Associates 97 Neponset Ave Dorchester MA 02122-3322 Ph: (617) 471-2898 |
| NPI Number | 1760699698 |
|---|---|
| Provider Enumeration Date | 05/17/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760699698 | NPI | - | NPPES |
| 1881763431 | Other | MA | INDIVIDUAL NPI |
| 1174692735 | Other | MA | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 11624 (Massachusetts) | Primary |
| 122300000X | Dentist | 11795 (Massachusetts) | Secondary |
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