| Norbert J Shay Dmd Pc | |
|
599 E Broadway South Boston MA 02127 | |
| (617) 269-3957 | |
| Not Available |
| Full Name | Norbert J Shay Dmd Pc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 599 E Broadway, South Boston, Massachusetts |
| Authorized Official Name and Position | Norbert James Shay (PRESIDENT) |
| Authorized Official Contact | 6172693957 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Norbert J Shay Dmd Pc 599 E Broadway South Boston MA 02127 Ph: (617) 269-3957 | Norbert J Shay Dmd Pc 599 E Broadway South Boston MA 02127 Ph: (617) 269-3957 |
| NPI Number | 1669485835 |
|---|---|
| Provider Enumeration Date | 08/15/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669485835 | NPI | - | NPPES |
| 97157381 | Medicaid | MA | |
| 0234117 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 11025 (Massachusetts) | Primary |
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