| John C. Serijan, D.m.d., P.c. | |
|
19a W Yarmouth Rd West Yarmouth MA 02673-3547 | |
| (508) 771-4144 | |
| (508) 771-4173 |
| Full Name | John C. Serijan, D.m.d., P.c. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 19a W Yarmouth Rd, West Yarmouth, Massachusetts |
| Authorized Official Name and Position | John C Serijan (PRESIDENT) |
| Authorized Official Contact | 5087714144 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John C. Serijan, D.m.d., P.c. 19a W Yarmouth Rd West Yarmouth MA 02673-3547 Ph: (508) 771-4144 | John C. Serijan, D.m.d., P.c. 19a W Yarmouth Rd West Yarmouth MA 02673-3547 Ph: (508) 771-4144 |
| NPI Number | 1043424369 |
|---|---|
| Provider Enumeration Date | 05/09/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043424369 | NPI | - | NPPES |
| 9737103 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 11376 (Massachusetts) | Primary |
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