Southcoast Community Dental Care | |
603 New Bedford Rd Rochester MA 02770-4125 | |
(774) 451-2067 | |
Not Available |
Full Name | Southcoast Community Dental Care |
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Speciality | Clinic/center - Dental |
Location | 603 New Bedford Rd, Rochester, Massachusetts |
Authorized Official Name and Position | Melissa Leite (OWNER) |
Authorized Official Contact | 7744512067 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Southcoast Community Dental Care 603 New Bedford Rd Po Box 22 Rochester MA 02770-4125 Ph: (774) 451-2067 | Southcoast Community Dental Care 603 New Bedford Rd Rochester MA 02770-4125 Ph: (774) 451-2067 |
NPI Number | 1598186645 |
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Provider Enumeration Date | 12/16/2013 |
Last Update Date | 12/16/2013 |
Identifier | Type | State | Issuer |
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1598186645 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | DH13264 (Massachusetts) | Primary |
261QD0000X | Clinic/center - Dental | DH14025 (Massachusetts) | Secondary |