| Yavner Dental Associates | |
|
101 Main Street Suite #220 Medford MA 02155 | |
| (781) 396-2179 | |
| Not Available |
| Full Name | Yavner Dental Associates |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 101 Main Street, Medford, Massachusetts |
| Authorized Official Name and Position | Susan B Yavner (DENTIST) |
| Authorized Official Contact | 7813962179 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Yavner Dental Associates 101 Main Street Suite #220 Medford MA 02155 Ph: (781) 396-2179 | Yavner Dental Associates 101 Main Street Suite #220 Medford MA 02155 Ph: (781) 396-2179 |
| NPI Number | 1962555680 |
|---|---|
| Provider Enumeration Date | 01/18/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962555680 | NPI | - | NPPES |
| 9766065 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 16832 (Massachusetts) | Primary |
| 1223G0001X | Dentist - General Practice | 7559 (Massachusetts) | Secondary |
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