THE PEDIATRIC DENTAL GROUP NPI 1225441843

NPI Information

THE PEDIATRIC DENTAL GROUP is a point of service in Framingham, MA. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. THE PEDIATRIC DENTAL GROUP NPI is 1225441843. The provider is registered as an organization entity type.

The provider's business location address is:

297 UNION AVE
FRAMINGHAM, MA
ZIP 01702-337
Phone: (617) 308-5361

The provider's authorized official is Patrick Asisoun .
The authorized official title is President and has the following contact phone number (508) 473-5437.

The enumeration date for this NPI number is 6/11/2014 and was last updated on 6/11/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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