| Rock Street Pedodontics Inc | |
|
551 Rock St Fall River MA 02720-3435 | |
| (774) 357-5670 | |
| (774) 357-5687 |
| Full Name | Rock Street Pedodontics Inc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 551 Rock St, Fall River, Massachusetts |
| Authorized Official Name and Position | Jon Paul Van Regenmorter (OWNER) |
| Authorized Official Contact | 7743575670 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rock Street Pedodontics Inc 551 Rock St Fall River MA 02720-3435 Ph: (774) 357-5670 | Rock Street Pedodontics Inc 551 Rock St Fall River MA 02720-3435 Ph: (774) 357-5670 |
| NPI Number | 1902321136 |
|---|---|
| Provider Enumeration Date | 08/09/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902321136 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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