| John D Meola, D.d.s., P.c. | |
|
40 2nd Ave Suite 500 Waltham MA 02451-1132 | |
| (781) 890-4900 | |
| (781) 890-6094 |
| Full Name | John D Meola, D.d.s., P.c. |
|---|---|
| Speciality | Dentist |
| Location | 40 2nd Ave, Waltham, Massachusetts |
| Authorized Official Name and Position | Kathleen Ann Russell (BUSINESS MANAGER) |
| Authorized Official Contact | 7818904900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John D Meola, D.d.s., P.c. 40 2nd Ave Suite 500 Waltham MA 02451-1132 Ph: (781) 890-4900 | John D Meola, D.d.s., P.c. 40 2nd Ave Suite 500 Waltham MA 02451-1132 Ph: (781) 890-4900 |
| NPI Number | 1063513869 |
|---|---|
| Provider Enumeration Date | 09/26/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063513869 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 14230 (Massachusetts) | Primary |
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