| The Classic Smile | |
|
92 High St Suite Dh 11-12 Medford MA 02155-3850 | |
| (781) 396-4131 | |
| (781) 396-2064 |
| Full Name | The Classic Smile |
|---|---|
| Speciality | Dentist |
| Location | 92 High St, Medford, Massachusetts |
| Authorized Official Name and Position | Richard A Short (PROVIDER/OWNER) |
| Authorized Official Contact | 7813964131 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Classic Smile 92 High St Suite Dh 11-12 Medford MA 02155-3850 Ph: (781) 396-4131 | The Classic Smile 92 High St Suite Dh 11-12 Medford MA 02155-3850 Ph: (781) 396-4131 |
| NPI Number | 1679013569 |
|---|---|
| Provider Enumeration Date | 02/27/2017 |
| Last Update Date | 02/27/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679013569 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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