| Boylston Dental Associates | |
| 
					17 Main St Boylston MA 01505-1948  | |
| (508) 869-6388 | |
| (508) 869-2910 | 
| Full Name | Boylston Dental Associates | 
|---|---|
| Speciality | Dentist - General Practice | 
| Location | 17 Main St, Boylston, Massachusetts | 
| Authorized Official Name and Position | John F Scanlon (OWNER/PRESIDENT) | 
| Authorized Official Contact | 5088696388 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Boylston Dental Associates 17 Main St Boylston MA 01505-1948 Ph: (508) 869-6388  | Boylston Dental Associates 17 Main St Boylston MA 01505-1948 Ph: (508) 869-6388  | 
| NPI Number | 1235306002 | 
|---|---|
| Provider Enumeration Date | 05/12/2008 | 
| Last Update Date | 05/12/2008 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1235306002 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 14415 (Massachusetts) | Primary | 
Professional Dental Allaince Of Massachusetts Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 17 Main St, Boylston, MA 01505 Phone: 508-869-6388  |