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PROFESSIONAL ENDODONTICS PC NPI 1588761787


NPI Information

NPI: 1588761787
Provider Name: PROFESSIONAL ENDODONTICS PC
Classification: Dentist - 1223E0200X
Entity Type: Organization

Specialization: Endodontics

Address:
30 HIGGINS CROWELL ROAD
WEST YARMOUTH, MA
ZIP 02673
Phone: (508) 771-3336
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PROFESSIONAL ENDODONTICS PC is an endodontics dentist in West Yarmouth, MA. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. PROFESSIONAL ENDODONTICS PC NPI is 1588761787. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

30 HIGGINS CROWELL ROAD
WEST YARMOUTH, MA
ZIP 02673
Phone: (508) 771-3336
Fax: (508) 778-9210

The provider's authorized official is Daniel J Molloy .
The authorized official title is Owner and has the following contact phone number (508) 771-3336.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 10/22/2007.


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
11223E0200XDentistEndodontics17951MASSACHUSETTSNo
21223E0200XDentistEndodontics16568MASSACHUSETTSYes

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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