| Cape Cod Pediatric Dentistry, Inc. | |
|
89 Lewis Bay Rd Suite 1 Hyannis MA 02601-5240 | |
| (508) 737-0816 | |
| Not Available |
| Full Name | Cape Cod Pediatric Dentistry, Inc. |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 89 Lewis Bay Rd, Hyannis, Massachusetts |
| Authorized Official Name and Position | Amy L Fugate (PEDIATRIC DENTIST) |
| Authorized Official Contact | 4013783720 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cape Cod Pediatric Dentistry, Inc. 89 Lewis Bay Rd Suite 1 Hyannis MA 02601-5240 Ph: (508) 737-0816 | Cape Cod Pediatric Dentistry, Inc. 89 Lewis Bay Rd Suite 1 Hyannis MA 02601-5240 Ph: (508) 737-0816 |
| NPI Number | 1609279835 |
|---|---|
| Provider Enumeration Date | 10/02/2014 |
| Last Update Date | 10/02/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609279835 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DN1855409 (Massachusetts) | Primary |
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