| Donald E. Kowalski, DDS | |
|
39 Broadway Beverly MA 01915-4417 | |
| (978) 927-5247 | |
| (978) 922-7369 |
| Full Name | Donald E. Kowalski, DDS |
|---|---|
| Speciality | Dentist |
| Location | 39 Broadway, Beverly, Massachusetts |
| Authorized Official Name and Position | Donald E. Kowalski (OWNER) |
| Authorized Official Contact | 9789275247 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Donald E. Kowalski, DDS 39 Broadway Po Box 3182 Beverly MA 01923 Ph: (978) 927-5247 | Donald E. Kowalski, DDS 39 Broadway Beverly MA 01915-4417 Ph: (978) 927-5247 |
| NPI Number | 1639382112 |
|---|---|
| Provider Enumeration Date | 05/08/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639382112 | NPI | - | NPPES |
| X11646 | Other | MA | BCBS |
| 0246433 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12978 (Massachusetts) | Primary |
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