| Tufts Dental Facility Monson | |
|
175 State Ave Palmer MA 01069-1843 | |
| (413) 283-3411 | |
| (413) 283-3674 |
| Full Name | Tufts Dental Facility Monson |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 175 State Ave, Palmer, Massachusetts |
| Authorized Official Name and Position | John Patrick Morgan (ADMINISTRATIVE DIRECTOR) |
| Authorized Official Contact | 7818996020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tufts Dental Facility Monson 175 State Avenue Palmer MA 01069 Ph: (413) 283-3411 | Tufts Dental Facility Monson 175 State Ave Palmer MA 01069-1843 Ph: (413) 283-3411 |
| NPI Number | 1760608608 |
|---|---|
| Provider Enumeration Date | 04/18/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760608608 | NPI | - | NPPES |
| 0272221 | Other | MA | MASSHEALTH PROVIDER NUMBE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 20040 (Massachusetts) | Primary |
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