| Southeastern Dental Care, Pc | |
|
336 Bedford St Lakeville MA 02347-2136 | |
| (508) 947-5717 | |
| (508) 947-8405 |
| Full Name | Southeastern Dental Care, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 336 Bedford St, Lakeville, Massachusetts |
| Authorized Official Name and Position | Minh-phuong Bui (PRESIDENT) |
| Authorized Official Contact | 5089475717 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeastern Dental Care, Pc 336 Bedford St Lakeville MA 02347-2136 Ph: (508) 947-5717 | Southeastern Dental Care, Pc 336 Bedford St Lakeville MA 02347-2136 Ph: (508) 947-5717 |
| NPI Number | 1588928147 |
|---|---|
| Provider Enumeration Date | 06/28/2012 |
| Last Update Date | 06/28/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588928147 | NPI | - | NPPES |
| 110068471A | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 21958 (Massachusetts) | Primary |
Marion Village Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 54 Main Street, Suite 6 C/o Lakeville Dental, Lakeville, MA 02347 Phone: 508-923-6900 | |
Commonwealth Mobile Oral Health Services, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12 Colleen Dr, Lakeville, MA 02347 Phone: 508-947-0111 Fax: 508-743-7827 | |
Lakeville Dental Associates, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 54 Main St, Suite 6, Lakeville, MA 02347 Phone: 508-923-6900 Fax: 508-946-0306 | |
Mobile Medical Dental (ma), P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 109 Rhode Island Rd, Lakeville, MA 02347 Phone: 252-985-1371 | |
Southeast Orthodontics, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 40 Main St, Lakeville, MA 02347 Phone: 508-880-5891 Fax: 508-802-9050 | |
Lakeville Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 54 Main St, Suite 6, Lakeville, MA 02347 Phone: 508-923-6900 |