| Full Name | Jack B Share Dds Pc |
|---|---|
| Speciality | Dentist |
| Location | 31 State Street, Boston, Massachusetts |
| Authorized Official Name and Position | Jack Bennet Share (OWNER/CEO) |
| Authorized Official Contact | 6177421350 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jack B Share Dds Pc 31 State Street Boston MA 02109 Ph: (617) 742-1350 | Jack B Share Dds Pc 31 State Street Boston MA 02109 Ph: (617) 742-1350 |
| NPI Number | 1033229802 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033229802 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 15456 (Massachusetts) | Primary |
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