| Newton Prosthodontics | |
|
517 Washington St Newton MA 02458-1433 | |
| (617) 965-1225 | |
| Not Available |
| Full Name | Newton Prosthodontics |
|---|---|
| Speciality | Dentist - Prosthodontics |
| Location | 517 Washington St, Newton, Massachusetts |
| Authorized Official Name and Position | Ryne Steven Johnson (OWNER) |
| Authorized Official Contact | 6179651225 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Newton Prosthodontics 517 Washington St Newton MA 02458-1433 Ph: (617) 965-1225 | Newton Prosthodontics 517 Washington St Newton MA 02458-1433 Ph: (617) 965-1225 |
| NPI Number | 1518002708 |
|---|---|
| Provider Enumeration Date | 02/21/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518002708 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | MA16753 (Massachusetts) | Primary |
| 1223P0700X | Dentist - Prosthodontics | MA16753 (Massachusetts) | Primary |
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