| Dr Jeffrey R Dornbush Pss Pc | |
|
210 Humphrey Street Marblehead MA 01945 | |
| (781) 639-0700 | |
| (781) 639-8060 |
| Full Name | Dr Jeffrey R Dornbush Pss Pc |
|---|---|
| Speciality | Dentist - Prosthodontics |
| Location | 210 Humphrey Street, Marblehead, Massachusetts |
| Authorized Official Name and Position | Jeffrey R Dornbush (OWNER) |
| Authorized Official Contact | 7816390700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jeffrey R Dornbush Pss Pc 210 Humphrey Street Marblehead MA 01945 Ph: (781) 639-0700 | Dr Jeffrey R Dornbush Pss Pc 210 Humphrey Street Marblehead MA 01945 Ph: (781) 639-0700 |
| NPI Number | 1124032099 |
|---|---|
| Provider Enumeration Date | 07/28/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124032099 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0700X | Dentist - Prosthodontics | 13302 (Massachusetts) | Primary |
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