| Metropolitan Dental Center | |
| 
					1417 Dorchester Ave Dorchester MA 02122-2915  | |
| (617) 929-0600 | |
| Not Available | 
| Full Name | Metropolitan Dental Center | 
|---|---|
| Speciality | Dentist - General Practice | 
| Location | 1417 Dorchester Ave, Dorchester, Massachusetts | 
| Authorized Official Name and Position | Christos Koumoutseas (DENTIST/ OWNER) | 
| Authorized Official Contact | 6179290600 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Metropolitan Dental Center 1417 Dorchester Ave Dorchester MA 02122-2915 Ph: (617) 929-0600  | Metropolitan Dental Center 1417 Dorchester Ave Dorchester MA 02122-2915 Ph: (617) 929-0600  | 
| NPI Number | 1154564490 | 
|---|---|
| Provider Enumeration Date | 04/16/2009 | 
| Last Update Date | 04/16/2009 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1154564490 | NPI | - | NPPES | 
| 0277983 | Medicaid | MA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 17622 (Massachusetts) | Primary | 
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