Tataket Dental Assoc | |
6 Tataket Sq Teaticket MA 02536-5644 | |
(508) 540-2448 | |
(508) 548-2205 |
Full Name | Tataket Dental Assoc |
---|---|
Speciality | Dentist - General Practice |
Location | 6 Tataket Sq, Teaticket, Massachusetts |
Authorized Official Name and Position | E Leo Whitworth (PRES) |
Authorized Official Contact | 5085402448 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Tataket Dental Assoc 6 Tataket Sq Teaticket MA 02536-5644 Ph: (508) 540-2448 | Tataket Dental Assoc 6 Tataket Sq Teaticket MA 02536-5644 Ph: (508) 540-2448 |
NPI Number | 1144430505 |
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Provider Enumeration Date | 05/23/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144430505 | NPI | - | NPPES |
9784004 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |