Richard D Carr Dds | |
68 New Edgerely Road Boston MA 02115 | |
(617) 262-5880 | |
(617) 859-8804 |
Full Name | Richard D Carr Dds |
---|---|
Speciality | Dentist - Pediatric Dentistry |
Location | 68 New Edgerely Road, Boston, Massachusetts |
Authorized Official Name and Position | Richard D Carr (OWNER) |
Authorized Official Contact | 6172625880 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Richard D Carr Dds 68 New Edgerely Road Boston MA 02115 Ph: (617) 262-5880 | Richard D Carr Dds 68 New Edgerely Road Boston MA 02115 Ph: (617) 262-5880 |
NPI Number | 1124173612 |
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Provider Enumeration Date | 01/24/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124173612 | NPI | - | NPPES |
X10762 | Other | MD | BLUE CROSS BLUE SHIELD |
9767703 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | 11712 (Massachusetts) | Primary |
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