| Blackstone Valley Dental Associates, Llc | |
|
12 Main St Blackstone MA 01504-2202 | |
| (508) 883-1050 | |
| (508) 883-0911 |
| Full Name | Blackstone Valley Dental Associates, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 12 Main St, Blackstone, Massachusetts |
| Authorized Official Name and Position | Todd B Harris (MANAGER) |
| Authorized Official Contact | 5088831050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blackstone Valley Dental Associates, Llc 12 Main St Blackstone MA 01504-2202 Ph: (508) 883-1050 | Blackstone Valley Dental Associates, Llc 12 Main St Blackstone MA 01504-2202 Ph: (508) 883-1050 |
| NPI Number | 1962575571 |
|---|---|
| Provider Enumeration Date | 11/15/2006 |
| Last Update Date | 07/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962575571 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 19827 (Massachusetts) | Secondary |
| 1223G0001X | Dentist - General Practice | 16536 (Massachusetts) | Primary |