| Russell B. Fox, D.m.d. Pc | |
|
259 Centre St Middleboro MA 02346-2234 | |
| (781) 738-6631 | |
| Not Available |
| Full Name | Russell B. Fox, D.m.d. Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 259 Centre St, Middleboro, Massachusetts |
| Authorized Official Name and Position | Russell Barry Fox (OWNER) |
| Authorized Official Contact | 7817386631 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Russell B. Fox, D.m.d. Pc Po Box 873 Norwell MA 02061-0873 Ph: (781) 738-6631 | Russell B. Fox, D.m.d. Pc 259 Centre St Middleboro MA 02346-2234 Ph: (781) 738-6631 |
| NPI Number | 1003337957 |
|---|---|
| Provider Enumeration Date | 06/30/2017 |
| Last Update Date | 06/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003337957 | NPI | - | NPPES |
| 1578697918 | Other | MA | PRIOR NPI # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN17399 (Massachusetts) | Primary |
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