MR. Edward Stephen Radivonyk, DMD is a general practice dentist in Fitchburg, MA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. MR. Edward Stephen Radivonyk, DMD NPI is 1336205699. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
637 MAIN STREET
FITCHBURG, MA
ZIP 01420-107
Phone: (978) 342-2222
Fax: (978) 342-1292
The NPI 1336205699 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).
The enumeration date for this NPI number is 12/29/2006 and was last updated on 7/8/2007.