| Robert G. Rafferty, Dmd, Pc | |
|
41 Dale St Chicopee MA 01020-1249 | |
| (413) 534-5144 | |
| (413) 538-5508 |
| Full Name | Robert G. Rafferty, Dmd, Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 41 Dale St, Chicopee, Massachusetts |
| Authorized Official Name and Position | Robert G Rafferty (OWNER) |
| Authorized Official Contact | 4135345144 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert G. Rafferty, Dmd, Pc 41 Dale St Chicopee MA 01020-1249 Ph: (413) 534-5144 | Robert G. Rafferty, Dmd, Pc 41 Dale St Chicopee MA 01020-1249 Ph: (413) 534-5144 |
| NPI Number | 1962675678 |
|---|---|
| Provider Enumeration Date | 04/03/2008 |
| Last Update Date | 04/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962675678 | NPI | - | NPPES |
| 0230529 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 9550 (Massachusetts) | Primary |
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