| Southcoast Community Dental Care | |
|
603 New Bedford Rd Rochester MA 02770-4125 | |
| (774) 451-2067 | |
| Not Available |
| Full Name | Southcoast Community Dental Care |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 603 New Bedford Rd, Rochester, Massachusetts |
| Authorized Official Name and Position | Melissa Leite (OWNER) |
| Authorized Official Contact | 7744512067 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southcoast Community Dental Care 603 New Bedford Rd Po Box 22 Rochester MA 02770-4125 Ph: (774) 451-2067 | Southcoast Community Dental Care 603 New Bedford Rd Rochester MA 02770-4125 Ph: (774) 451-2067 |
| NPI Number | 1598186645 |
|---|---|
| Provider Enumeration Date | 12/16/2013 |
| Last Update Date | 12/16/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598186645 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DH14025 (Massachusetts) | Secondary |
| 261QD0000X | Clinic/center - Dental | DH13264 (Massachusetts) | Primary |