| Daniel J. Clancy D.D.S. P.C. | |
|
511 W Grove St 203 Middleboro MA 02346-1458 | |
| (508) 947-8000 | |
| Not Available |
| Full Name | Daniel J. Clancy D.D.S. P.C. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 511 W Grove St, Middleboro, Massachusetts |
| Authorized Official Name and Position | Daniel J Clancy (PRESIDENT) |
| Authorized Official Contact | 5089478000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel J. Clancy D.D.S. P.C. 511 W Grove St 203 Middleboro MA 02346-1458 Ph: (508) 947-8000 | Daniel J. Clancy D.D.S. P.C. 511 W Grove St 203 Middleboro MA 02346-1458 Ph: (508) 947-8000 |
| NPI Number | 1255570156 |
|---|---|
| Provider Enumeration Date | 02/17/2009 |
| Last Update Date | 02/17/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255570156 | NPI | - | NPPES |
| 9796126 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 10658 (Massachusetts) | Primary |
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