| Tufts Dental Facility Wrentham | |
|
200 Trapelo Rd Waltham MA 02452-6332 | |
| (508) 384-8987 | |
| (508) 384-6594 |
| Full Name | Tufts Dental Facility Wrentham |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 200 Trapelo Rd, Waltham, Massachusetts |
| Authorized Official Name and Position | John Patrick Morgan (ADMINISTRATIVE DIRECTOR) |
| Authorized Official Contact | 7818996020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tufts Dental Facility Wrentham Po Box 144 Wrentham MA 02093-0144 Ph: (508) 384-8987 | Tufts Dental Facility Wrentham 200 Trapelo Rd Waltham MA 02452-6332 Ph: (508) 384-8987 |
| NPI Number | 1295959849 |
|---|---|
| Provider Enumeration Date | 04/13/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295959849 | NPI | - | NPPES |
| 0272191 | Other | MA | MASSHEALTH PROVIDER NUMBE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 20040 (Massachusetts) | Primary |
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