| Mansfield Periodontics And Dental Implants, Pllc | |
|
100 Copeland Dr Unit 3 Mansfield MA 02048-1245 | |
| (508) 543-9292 | |
| (508) 339-1919 |
| Full Name | Mansfield Periodontics And Dental Implants, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 100 Copeland Dr, Mansfield, Massachusetts |
| Authorized Official Name and Position | Valerie Anne Smith (PRESIDENT) |
| Authorized Official Contact | 5085439292 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mansfield Periodontics And Dental Implants, Pllc 100 Copeland Dr Unit 3 Mansfield MA 02048-1245 Ph: (508) 543-9292 | Mansfield Periodontics And Dental Implants, Pllc 100 Copeland Dr Unit 3 Mansfield MA 02048-1245 Ph: (508) 543-9292 |
| NPI Number | 1194260588 |
|---|---|
| Provider Enumeration Date | 12/21/2016 |
| Last Update Date | 12/21/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194260588 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 21803 (Massachusetts) | Primary |
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