| Richard D Carr Dds | |
|
68 New Edgerely Road Boston MA 02115 | |
| (617) 262-5880 | |
| (617) 859-8804 |
| Full Name | Richard D Carr Dds |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 68 New Edgerely Road, Boston, Massachusetts |
| Authorized Official Name and Position | Richard D Carr (OWNER) |
| Authorized Official Contact | 6172625880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard D Carr Dds 68 New Edgerely Road Boston MA 02115 Ph: (617) 262-5880 | Richard D Carr Dds 68 New Edgerely Road Boston MA 02115 Ph: (617) 262-5880 |
| NPI Number | 1124173612 |
|---|---|
| Provider Enumeration Date | 01/24/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124173612 | NPI | - | NPPES |
| X10762 | Other | MD | BLUE CROSS BLUE SHIELD |
| 9767703 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 11712 (Massachusetts) | Primary |
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