| Michel A Jusseaume Pc | |
|
1021 Main Rd Westport MA 02790-4412 | |
| (508) 636-5111 | |
| (508) 636-2318 |
| Full Name | Michel A Jusseaume Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1021 Main Rd, Westport, Massachusetts |
| Authorized Official Name and Position | Michel A Jusseaume (OWNER) |
| Authorized Official Contact | 5086365111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michel A Jusseaume Pc 1021 Main Rd Westport MA 02790-4412 Ph: (508) 636-5111 | Michel A Jusseaume Pc 1021 Main Rd Westport MA 02790-4412 Ph: (508) 636-5111 |
| NPI Number | 1144493834 |
|---|---|
| Provider Enumeration Date | 04/02/2008 |
| Last Update Date | 04/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144493834 | NPI | - | NPPES |
| 9794204 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0216631 (Massachusetts) | Primary |
Kevin J Wendell Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1021 Main Rd, Westport, MA 02790 Phone: 508-636-5111 Fax: 508-636-2318 | |
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