| Squire Road Family Dental Llc | |
|
276 Squire Rd Revere MA 02151-4312 | |
| (781) 284-6197 | |
| Not Available |
| Full Name | Squire Road Family Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 276 Squire Rd, Revere, Massachusetts |
| Authorized Official Name and Position | Ernest Frank Powers (OWNER) |
| Authorized Official Contact | 6179477757 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Squire Road Family Dental Llc 276 Squire Rd Revere MA 02151-4312 Ph: (781) 284-6197 | Squire Road Family Dental Llc 276 Squire Rd Revere MA 02151-4312 Ph: (781) 284-6197 |
| NPI Number | 1245197748 |
|---|---|
| Provider Enumeration Date | 01/06/2026 |
| Last Update Date | 01/06/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245197748 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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