| Newton Centre Dental | |
|
1400 Centre St Ste 201 Newton MA 02459-2414 | |
| (617) 965-2440 | |
| Not Available |
| Full Name | Newton Centre Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1400 Centre St Ste 201, Newton, Massachusetts |
| Authorized Official Name and Position | Leah Ann Maylott (CREDENTIALING ADMINISTRATOR) |
| Authorized Official Contact | 8608748198 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Newton Centre Dental 1400 Centre St Ste 201 Newton MA 02459-2414 Ph: (860) 874-8198 | Newton Centre Dental 1400 Centre St Ste 201 Newton MA 02459-2414 Ph: (617) 965-2440 |
| NPI Number | 1700364866 |
|---|---|
| Provider Enumeration Date | 08/01/2018 |
| Last Update Date | 01/17/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700364866 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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