Dr. Dental Of Endicott Plaza, Pc | |
139 Endicott St Danvers MA 01923-4803 | |
(617) 887-2100 | |
(617) 887-2102 |
Full Name | Dr. Dental Of Endicott Plaza, Pc |
---|---|
Speciality | Clinic/center - Dental |
Location | 139 Endicott St, Danvers, Massachusetts |
Authorized Official Name and Position | Julia O Faigel (DMD / OWNER) |
Authorized Official Contact | 6178872100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Dr. Dental Of Endicott Plaza, Pc 139 Endicott St Danvers MA 01923-4803 Ph: (617) 887-2100 | Dr. Dental Of Endicott Plaza, Pc 139 Endicott St Danvers MA 01923-4803 Ph: (617) 887-2100 |
NPI Number | 1306136106 |
---|---|
Provider Enumeration Date | 04/13/2011 |
Last Update Date | 04/13/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306136106 | NPI | - | NPPES |
9794395 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 20485 (Massachusetts) | Primary |
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