| Kindred Smiles Pediatric Dentistry Llc | |
|
300 Main St Groton MA 01450-1379 | |
| (978) 448-8400 | |
| Not Available |
| Full Name | Kindred Smiles Pediatric Dentistry Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 300 Main St, Groton, Massachusetts |
| Authorized Official Name and Position | Jay M. Decoteau (OWNER) |
| Authorized Official Contact | 9784488400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kindred Smiles Pediatric Dentistry Llc 300 Main St Groton MA 01450-1379 Ph: (978) 448-8400 | Kindred Smiles Pediatric Dentistry Llc 300 Main St Groton MA 01450-1379 Ph: (978) 448-8400 |
| NPI Number | 1104226539 |
|---|---|
| Provider Enumeration Date | 09/04/2014 |
| Last Update Date | 09/04/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104226539 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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