| Edgartown Dental Group Llc | |
| 
					207 Upper Main St Edgartown MA 02539-5927  | |
| (508) 939-9000 | |
| Not Available | 
| Full Name | Edgartown Dental Group Llc | 
|---|---|
| Speciality | Dentist - General Practice | 
| Location | 207 Upper Main St, Edgartown, Massachusetts | 
| Authorized Official Name and Position | Bari Stern (ADMIN COORDINATOR) | 
| Authorized Official Contact | 9176964515 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Edgartown Dental Group Llc Po Box 9000 Edgartown MA 02539-9000 Ph: () -  | Edgartown Dental Group Llc 207 Upper Main St Edgartown MA 02539-5927 Ph: (508) 939-9000  | 
| NPI Number | 1235657255 | 
|---|---|
| Provider Enumeration Date | 08/30/2017 | 
| Last Update Date | 08/30/2017 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1235657255 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary | 
Main Street Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 207 Upper Main St, Edgartown, MA 02539 Phone: 508-939-9000 Fax: 508-939-8537  | |
Island Health Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Mariners Lndg Unit D, Edgartown, MA 02539 Phone: 508-627-5797 Fax: 508-939-8644  |