| The Classic Smile | |
|
92 High St Suite 12 Medford MA 02155-3850 | |
| (761) 396-4131 | |
| (781) 396-2064 |
| Full Name | The Classic Smile |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 92 High St, Medford, Massachusetts |
| Authorized Official Name and Position | Richard A Short (PARTNER) |
| Authorized Official Contact | 7813964131 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Classic Smile 92 High St Suite 12 Medford MA 02155-3850 Ph: (761) 396-4131 | The Classic Smile 92 High St Suite 12 Medford MA 02155-3850 Ph: (761) 396-4131 |
| NPI Number | 1356460471 |
|---|---|
| Provider Enumeration Date | 03/28/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356460471 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 15145 (Massachusetts) | Primary |
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