| Tufts Dental Facility Groton | |
|
22 Hillside Ave Groton MA 01450 | |
| (978) 448-3388 | |
| Not Available |
| Full Name | Tufts Dental Facility Groton |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 22 Hillside Ave, Groton, Massachusetts |
| Authorized Official Name and Position | Darren J Drag (DIRECTOR OF CLINICAL OPERATIONS) |
| Authorized Official Contact | 7818996020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tufts Dental Facility Groton 22 Hillside Ave Groton MA 01450 Ph: (978) 448-3388 | Tufts Dental Facility Groton 22 Hillside Ave Groton MA 01450 Ph: (978) 448-3388 |
| NPI Number | 1467755702 |
|---|---|
| Provider Enumeration Date | 12/08/2010 |
| Last Update Date | 12/08/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467755702 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 20040 (Massachusetts) | Primary |
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