| South Boston Dental Associates | |
|
29 Farragut Rd South Boston MA 02127-1714 | |
| (617) 268-1030 | |
| Not Available |
| Full Name | South Boston Dental Associates |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 29 Farragut Rd, South Boston, Massachusetts |
| Authorized Official Name and Position | Philip Barber (PARTNER) |
| Authorized Official Contact | 6172681030 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Boston Dental Associates 29 Farragut Rd South Boston MA 02127-1714 Ph: (617) 268-1030 | South Boston Dental Associates 29 Farragut Rd South Boston MA 02127-1714 Ph: (617) 268-1030 |
| NPI Number | 1356563316 |
|---|---|
| Provider Enumeration Date | 05/02/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356563316 | NPI | - | NPPES |
| X10143 | Other | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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