| Stuart H Sandrew DDS Msd Inc | |
|
435 South Street Pittsfield MA 01201 | |
| (413) 445-4592 | |
| (413) 445-6756 |
| Full Name | Stuart H Sandrew DDS Msd Inc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 435 South Street, Pittsfield, Massachusetts |
| Authorized Official Name and Position | Stuart Howard Sandrew (PRESIDENT) |
| Authorized Official Contact | 4134454592 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stuart H Sandrew DDS Msd Inc 435 South Street Pittsfield MA 01201 Ph: (413) 445-4592 | Stuart H Sandrew DDS Msd Inc 435 South Street Pittsfield MA 01201 Ph: (413) 445-4592 |
| NPI Number | 1144247057 |
|---|---|
| Provider Enumeration Date | 07/16/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144247057 | NPI | - | NPPES |
| X11861 | Other | MA | BCBS DENTAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 10127 (Massachusetts) | Primary |
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