| Super Smiles | |
|
54 Middlesex Tpke Suite 104 Burlington MA 01803-4908 | |
| (781) 272-1288 | |
| Not Available |
| Full Name | Super Smiles |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 54 Middlesex Tpke, Burlington, Massachusetts |
| Authorized Official Name and Position | Emilie D Miller (PRESIDENT) |
| Authorized Official Contact | 7813097086 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Super Smiles 54 Middlesex Tpke Suite 104 Burlington MA 01803-4908 Ph: (781) 272-1288 | Super Smiles 54 Middlesex Tpke Suite 104 Burlington MA 01803-4908 Ph: (781) 272-1288 |
| NPI Number | 1437587706 |
|---|---|
| Provider Enumeration Date | 10/24/2013 |
| Last Update Date | 06/03/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437587706 | NPI | - | NPPES |
| 110077883A | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 21363 (Massachusetts) | Primary |
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