Massachusetts Dental Professionals, P.c.
NPI #1336394006 in Brewster, Massachusetts
Provider Information
- NPI Number
- 1336394006
- Entity Type
- Organization
- Organization Name
- Massachusetts Dental Professionals, P.c.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MASSACHUSETTS DENTAL PROFESSIONALS, P.C.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Nov 23, 2008
- Last Updated
- Mar 30, 2016
Practice Location
- Address
- 11 BAY STATE CT
- City
- Brewster
- State
- Massachusetts
- ZIP Code
- 02631-2120
- Phone
- (508) 255-0111
Authorized Official
- Name
- HEATHER PRUEMER
- Title
- CREDENTIALING TEAM LEAD
- Phone
- (217) 540-8434
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
| Dentist - General Practice — General Practice |
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