| Anthony G. Dimatteo Dds | |
|
914 Main Street Southbridge MA 01550 | |
| (508) 765-5985 | |
| Not Available |
| Full Name | Anthony G. Dimatteo Dds |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 914 Main Street, Southbridge, Massachusetts |
| Authorized Official Name and Position | Anthony G Dimatteo (PARTNER) |
| Authorized Official Contact | 5087655985 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anthony G. Dimatteo Dds 914 Main Street Southbridge MA 01550 Ph: (508) 765-5985 | Anthony G. Dimatteo Dds 914 Main Street Southbridge MA 01550 Ph: (508) 765-5985 |
| NPI Number | 1306994702 |
|---|---|
| Provider Enumeration Date | 01/08/2007 |
| Last Update Date | 04/10/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306994702 | NPI | - | NPPES |
| X10388DR | Other | MA | BLUE CROSS BLUE SHIELD |
| 000112 | Other | MA | DELTA DENTAL |
| 0246409 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12974 (Massachusetts) | Secondary |
| 1223G0001X | Dentist - General Practice | 12696 (Massachusetts) | Primary |
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