| Tufts Dental Facilty Hogan | |
|
450 Maple St Hathorne MA 01937 | |
| (978) 774-5000 | |
| (978) 774-5000 |
| Full Name | Tufts Dental Facilty Hogan |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 450 Maple St, Hathorne, 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 Facilty Hogan 450 Maple St Hathorne MA 01937 Ph: (978) 774-5000 | Tufts Dental Facilty Hogan 450 Maple St Hathorne MA 01937 Ph: (978) 774-5000 |
| NPI Number | 1740405356 |
|---|---|
| Provider Enumeration Date | 04/17/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740405356 | NPI | - | NPPES |
| 0272248 | Other | MA | MASSHEALTH PROVIDER NUMBE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 20040 (Massachusetts) | Primary |