| Cambridge Orthodontics | |
|
1751 Massachusetts Ave Cambridge MA 02140-2218 | |
| (617) 491-6800 | |
| (617) 491-4424 |
| Full Name | Cambridge Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1751 Massachusetts Ave, Cambridge, Massachusetts |
| Authorized Official Name and Position | Robert Nicholas Petrosino (ADMINISTRATOR) |
| Authorized Official Contact | 6174916800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cambridge Orthodontics 1751 Massachusetts Ave Cambridge MA 02140-2218 Ph: (617) 491-6800 | Cambridge Orthodontics 1751 Massachusetts Ave Cambridge MA 02140-2218 Ph: (617) 491-6800 |
| NPI Number | 1750392486 |
|---|---|
| Provider Enumeration Date | 08/10/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750392486 | NPI | - | NPPES |
| 0264482 | Other | INDIV MASS HEALTH NUMBER | |
| 9735119 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 14460 (Massachusetts) | Primary |
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