| Massasoit Dental Associates | |
|
288 Belmont Street Brockton MA 02301 | |
| (508) 583-0103 | |
| (508) 583-0140 |
| Full Name | Massasoit Dental Associates |
|---|---|
| Speciality | Dentist |
| Location | 288 Belmont Street, Brockton, Massachusetts |
| Authorized Official Name and Position | John P Blatz (OWNER) |
| Authorized Official Contact | 5085830103 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Massasoit Dental Associates 288 Belmont Street Brockton MA 02301 Ph: (508) 583-0103 | Massasoit Dental Associates 288 Belmont Street Brockton MA 02301 Ph: (508) 583-0103 |
| NPI Number | 1053431361 |
|---|---|
| Provider Enumeration Date | 03/30/2007 |
| Last Update Date | 10/29/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053431361 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (Massachusetts) | Primary |
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