| South Shore Periodontics Llp | |
|
175 Derby Street Suite #11 Hingham MA 02043 | |
| (781) 749-9444 | |
| (781) 749-4487 |
| Full Name | South Shore Periodontics Llp |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 175 Derby Street, Hingham, Massachusetts |
| Authorized Official Name and Position | James T Ubertalli (OWNER PARTNER) |
| Authorized Official Contact | 7817499444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Shore Periodontics Llp 175 Derby Street Suite #11 Hingham MA 02043 Ph: (781) 749-9444 | South Shore Periodontics Llp 175 Derby Street Suite #11 Hingham MA 02043 Ph: (781) 749-9444 |
| NPI Number | 1669566519 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669566519 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 19645 (Massachusetts) | Secondary |
| 1223P0300X | Dentist - Periodontics | 18143 (Massachusetts) | Primary |
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