Newtonville Dental Group, Llc | |
456 Newtonville Ave Newtonville MA 02460-1925 | |
(617) 244-4133 | |
Not Available |
Full Name | Newtonville Dental Group, Llc |
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Speciality | Dentist - General Practice |
Location | 456 Newtonville Ave, Newtonville, Massachusetts |
Authorized Official Name and Position | Richard Todd Miller (PRESIDENT) |
Authorized Official Contact | 7815620457 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Newtonville Dental Group, Llc 500 Chapman St Unit 201 Canton MA 02021-2040 Ph: (781) 562-0457 | Newtonville Dental Group, Llc 456 Newtonville Ave Newtonville MA 02460-1925 Ph: (617) 244-4133 |
NPI Number | 1942708219 |
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Provider Enumeration Date | 01/31/2018 |
Last Update Date | 01/31/2018 |
Identifier | Type | State | Issuer |
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1942708219 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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