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MASSACHUSETTS DENTAL PROFESSIONALS P.C. NPI 1336394006


NPI Information

NPI: 1336394006
Provider Name: MASSACHUSETTS DENTAL PROFESSIONALS, P.C.

Doing Business As: EAST BREWSTER DENTAL

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
11 BAY STATE CT
BREWSTER, MA
ZIP 02631
Phone: (508) 255-0111
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MASSACHUSETTS DENTAL PROFESSIONALS, P.C. is a general practice dentist in Brewster, 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. MASSACHUSETTS DENTAL PROFESSIONALS, P.C. NPI is 1336394006. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As East Brewster Dental.

The provider's business location address is:

11 BAY STATE CT
BREWSTER, MA
ZIP 02631-120
Phone: (508) 255-0111
Fax: (508) 255-1160

The provider's authorized official is Heather Pruemer .
The authorized official title is Credentialing Team Lead and has the following contact phone number (217) 540-8434.

The enumeration date for this NPI number is 11/23/2008 and was last updated on 3/30/2016.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1122300000XDentist22060MASSACHUSETTSNo
21223G0001XDentistGeneral PracticeMASSACHUSETTSYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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