| Paul E Tesone Dds Inc | |
|
563 Broadway Suite 4 Everett MA 02149 | |
| (617) 389-4950 | |
| (617) 389-8604 |
| Full Name | Paul E Tesone Dds Inc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 563 Broadway, Everett, Massachusetts |
| Authorized Official Name and Position | Paul E Tesone (OWNER) |
| Authorized Official Contact | 6173894950 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Paul E Tesone Dds Inc 563 Broadway S Suite 4 Everett MA 02149 Ph: (617) 389-4950 | Paul E Tesone Dds Inc 563 Broadway Suite 4 Everett MA 02149 Ph: (617) 389-4950 |
| NPI Number | 1770787442 |
|---|---|
| Provider Enumeration Date | 06/14/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770787442 | NPI | - | NPPES |
| X11108 | Other | MA | BCBS |
| X03773 | Other | MA | BCBS |
| 0230111 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 11620 (Massachusetts) | Primary |
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