Bay State Endodontics LLC

NPI #1811301971 in Walpole, Massachusetts

Provider Information

NPI Number: 1811301971
Entity Type: Organization
Organization Name: Bay State Endodontics LLC
Primary Specialty: Dentist - Endodontics
Enumeration Date: Jun 17, 2014
Last Updated: Jun 24, 2014

Practice Location

Address: 555 PROVIDENCE HWY
Address 2: UNIT 1A
City: Walpole
State: Massachusetts
ZIP Code: 02081-4230
Phone: (508) 850-7311

Authorized Official

Name: DR. MATTHEW ARTHUR FISHER, D.D.S. M.S.
Title: OWNER
Phone: (508) 850-7311

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Endodontics — Endodontics	1223E0200X	Primary

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