| St. Luke's Dental Clinic | |
|
412 Hampshire St Lawrence MA 01841-3110 | |
| (978) 269-5284 | |
| (978) 602-7004 |
| Full Name | St. Luke's Dental Clinic |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 412 Hampshire St, Lawrence, Massachusetts |
| Authorized Official Name and Position | H. Bridget Shaheen (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9782695200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Luke's Dental Clinic 48 Holly St P.o. Box 408 Lawrence MA 01841-3538 Ph: (978) 689-8575 | St. Luke's Dental Clinic 412 Hampshire St Lawrence MA 01841-3110 Ph: (978) 269-5284 |
| NPI Number | 1841471778 |
|---|---|
| Provider Enumeration Date | 11/20/2007 |
| Last Update Date | 11/20/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841471778 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 4FUB (Massachusetts) | Primary |
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