| Outer Cape Dental Group, Llc | |
|
10 Cannon Hill Rd South Wellfleet MA 02663 | |
| (508) 349-6300 | |
| Not Available |
| Full Name | Outer Cape Dental Group, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 10 Cannon Hill Rd, South Wellfleet, Massachusetts |
| Authorized Official Name and Position | Kevin F. Toomey (CO-OWNER) |
| Authorized Official Contact | 5083496300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Outer Cape Dental Group, Llc Po Box 700 10 Cannon Hill Rd South Wellfleet MA 02663-0700 Ph: () - | Outer Cape Dental Group, Llc 10 Cannon Hill Rd South Wellfleet MA 02663 Ph: (508) 349-6300 |
| NPI Number | 1316318686 |
|---|---|
| Provider Enumeration Date | 10/13/2015 |
| Last Update Date | 10/13/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316318686 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0700X | Dentist - Prosthodontics | DN14506 (Massachusetts) | Secondary |
| 1223G0001X | Dentist - General Practice | DN21625 (* (Not Available)) | Primary |
Timothy S Martinez, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: Cannon Hill Rd At Rte. 6, South Wellfleet, MA 02663 Phone: 508-349-6300 Fax: 508-349-6385 |