| Oceanview Dental Specialists | |
|
17 Rogers St Ste 3-2 Gloucester MA 01930-5038 | |
| (978) 283-6252 | |
| (978) 283-1722 |
| Full Name | Oceanview Dental Specialists |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 17 Rogers St Ste 3-2, Gloucester, Massachusetts |
| Authorized Official Name and Position | Mahshid Mirghassemi (OWNER) |
| Authorized Official Contact | 9782836252 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oceanview Dental Specialists 17 Rogers St Ste 3-2 Gloucester MA 01930-5038 Ph: (978) 283-6252 | Oceanview Dental Specialists 17 Rogers St Ste 3-2 Gloucester MA 01930-5038 Ph: (978) 283-6252 |
| NPI Number | 1699502880 |
|---|---|
| Provider Enumeration Date | 09/19/2024 |
| Last Update Date | 09/19/2024 |
| Certification Date | 09/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699502880 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (NU) | Primary |
| 1223P0300X | Dentist - Periodontics | (NU) | Secondary |
| 1223P0700X | Dentist - Prosthodontics | (NU) | Secondary |
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