| Middleboro Oral Surgeons, Pc | |
|
47 Bedford St Unit 3 Middleboro MA 02346-1047 | |
| (508) 947-8452 | |
| Not Available |
| Full Name | Middleboro Oral Surgeons, Pc |
|---|---|
| Speciality | Dentist |
| Location | 47 Bedford St Unit 3, Middleboro, Massachusetts |
| Authorized Official Name and Position | Alireza Ashrafi (PRESIDENT/SURGEON) |
| Authorized Official Contact | 6178387100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Middleboro Oral Surgeons, Pc 47 Bedford St Unit 3 Middleboro MA 02346-1047 Ph: (508) 947-8452 | Middleboro Oral Surgeons, Pc 47 Bedford St Unit 3 Middleboro MA 02346-1047 Ph: (508) 947-8452 |
| NPI Number | 1700432143 |
|---|---|
| Provider Enumeration Date | 08/12/2019 |
| Last Update Date | 08/12/2019 |
| Medicare PECOS PAC ID | 8426482308 |
|---|---|
| Medicare Enrollment ID | O20191231001484 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700432143 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| Provider Name | Alireza Ashrafi |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1578858973 PECOS PAC ID: 7618285255 Enrollment ID: I20151001001681 |
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