| Mendon Family Dentistry | |
|
14 Hastings St Mendon MA 01756-1079 | |
| (508) 478-8683 | |
| Not Available |
| Full Name | Mendon Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 14 Hastings St, Mendon, Massachusetts |
| Authorized Official Name and Position | Joanne Tavano (COO) |
| Authorized Official Contact | 9785801524 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mendon Family Dentistry 5 Mount Royal Ave Ste 300 Marlborough MA 01752-1900 Ph: (508) 460-0632 | Mendon Family Dentistry 14 Hastings St Mendon MA 01756-1079 Ph: (508) 478-8683 |
| NPI Number | 1083168132 |
|---|---|
| Provider Enumeration Date | 08/06/2016 |
| Last Update Date | 09/14/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083168132 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 20209 (Massachusetts) | Primary |
| 305S00000X | Point Of Service | 20209 (Massachusetts) | Secondary |
Mendon Family Dentistry, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 14 Hastings Street, Mendon, MA 01756 Phone: 508-478-8683 |