| Waban Dental Group | |
|
1180 Beacon Street Newton MA 02461-1103 | |
| (617) 527-6061 | |
| (617) 964-3919 |
| Full Name | Waban Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1180 Beacon Street, Newton, Massachusetts |
| Authorized Official Name and Position | Douglas S Howie (PRESIDENT) |
| Authorized Official Contact | 6175276061 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Waban Dental Group 1180 Beacon Street Newton MA 02461-1103 Ph: (617) 527-6061 | Waban Dental Group 1180 Beacon Street Newton MA 02461-1103 Ph: (617) 527-6061 |
| NPI Number | 1851466023 |
|---|---|
| Provider Enumeration Date | 11/22/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851466023 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 14183 (Massachusetts) | Primary |
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