| Outer Cape Health Services Dental | |
|
49 Harry Kemp Way Provincetown MA 02657-1618 | |
| (508) 487-9395 | |
| (508) 487-3285 |
| Full Name | Outer Cape Health Services Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 49 Harry Kemp Way, Provincetown, Massachusetts |
| Authorized Official Name and Position | Lina Lillian Winters (DIRECTOR OF REVENUE CYCLE) |
| Authorized Official Contact | 5089052431 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Outer Cape Health Services Dental Po Box 598 Harwich Port MA 02646-0598 Ph: (508) 905-2800 | Outer Cape Health Services Dental 49 Harry Kemp Way Provincetown MA 02657-1618 Ph: (508) 487-9395 |
| NPI Number | 1588829014 |
|---|---|
| Provider Enumeration Date | 07/24/2008 |
| Last Update Date | 09/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588829014 | NPI | - | NPPES |
| 1302493 | Medicaid | MA | |
| 110027866/A | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 4963 (Massachusetts) | Primary |
Harbor Health Services, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 49 Harry Kemp Way, Provincetown, MA 02657 Phone: 508-778-5440 Fax: 508-778-8747 | |
Provincetown Harbor Dental Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 Harry Kemp Way Unit 2, Provincetown, MA 02657 Phone: 508-241-6366 |