WINCHESTER PERIODONTIOCS & IMPLANTOLOGY NPI 1235388505

NPI Information

WINCHESTER PERIODONTIOCS & IMPLANTOLOGY is a periodontics dentist in Winchester, MA. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. WINCHESTER PERIODONTIOCS & IMPLANTOLOGY NPI is 1235388505. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

955 MAIN ST
SUITE 203
WINCHESTER, MA
ZIP 01890-961
Phone: (781) 729-9390
Fax: (781) 729-6792

The provider's authorized official is Robert Mehanna .
The authorized official title is Owner and has the following contact phone number (781) 729-9390.

The enumeration date for this NPI number is 9/11/2008 and was last updated on 9/11/2008.

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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