| South Street Dental | |
|
881 South St Fitchburg MA 01420-6252 | |
| (978) 343-2630 | |
| Not Available |
| Full Name | South Street Dental |
|---|---|
| Speciality | Dentist |
| Location | 881 South St, Fitchburg, Massachusetts |
| Authorized Official Name and Position | Frank A Voci (PRESIDENT) |
| Authorized Official Contact | 5087699636 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Street Dental 129 Lincoln Dental St Worcester MA 01605 Ph: (508) 754-5891 | South Street Dental 881 South St Fitchburg MA 01420-6252 Ph: (978) 343-2630 |
| NPI Number | 1245478825 |
|---|---|
| Provider Enumeration Date | 02/04/2009 |
| Last Update Date | 02/04/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245478825 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2226 (Massachusetts) | Secondary |
| 122300000X | Dentist | 17272 (Massachusetts) | Primary |
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