| Lewis Wharf Dental Associates | |
|
28 Atlantic Ave. Ste. 237 Boston MA 02110 | |
| (617) 227-4831 | |
| (617) 227-3174 |
| Full Name | Lewis Wharf Dental Associates |
|---|---|
| Speciality | Dentist - Prosthodontics |
| Location | 28 Atlantic Ave., Boston, Massachusetts |
| Authorized Official Name and Position | William L. Maness (OWNER) |
| Authorized Official Contact | 6172274831 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lewis Wharf Dental Associates 28 Atlantic Ave. Office 237 Boston MA 02110 Ph: (617) 227-4831 | Lewis Wharf Dental Associates 28 Atlantic Ave. Ste. 237 Boston MA 02110 Ph: (617) 227-4831 |
| NPI Number | 1609989235 |
|---|---|
| Provider Enumeration Date | 08/17/2006 |
| Last Update Date | 07/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609989235 | NPI | - | NPPES |
| X07015 | Other | MA | BC/BS |
| 185821 | Other | MA | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0700X | Dentist - Prosthodontics | 11614 (Massachusetts) | Primary |
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