| Fred J. Ravens III DDS PC | |
|
198 Ash St Reading MA 01867-3623 | |
| (781) 944-0464 | |
| Not Available |
| Full Name | Fred J. Ravens III DDS PC |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 198 Ash St, Reading, Massachusetts |
| Authorized Official Name and Position | Fred J Ravens (OWNER) |
| Authorized Official Contact | 7819440464 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fred J. Ravens III DDS PC 198 Ash St Reading MA 01867-3623 Ph: (781) 944-0464 | Fred J. Ravens III DDS PC 198 Ash St Reading MA 01867-3623 Ph: (781) 944-0464 |
| NPI Number | 1366618662 |
|---|---|
| Provider Enumeration Date | 05/06/2008 |
| Last Update Date | 05/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366618662 | NPI | - | NPPES |
| X05118 | Other | MA | BLUE CROSS BLUE SHEILD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 13948 (Massachusetts) | Primary |
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