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YARMOUTH PERIODONTICS LLC NPI 1619305372


NPI Information

NPI: 1619305372
Provider Name: YARMOUTH PERIODONTICS LLC
Classification: Dentist - 1223P0300X
Entity Type: Organization

Specialization: Periodontics

Address:
30 HIGGINS CROWELL RD
WEST YARMOUTH, MA
ZIP 02673
Phone: (508) 775-6996
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YARMOUTH PERIODONTICS LLC is a periodontics dentist in West Yarmouth, 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. YARMOUTH PERIODONTICS LLC NPI is 1619305372. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

30 HIGGINS CROWELL RD
WEST YARMOUTH, MA
ZIP 02673-444
Phone: (508) 775-6996

The provider's authorized official is Dennis J Jodoin .
The authorized official title is Owner and has the following contact phone number (508) 775-6996.

The enumeration date for this NPI number is 10/16/2013 and was last updated on 10/16/2013.


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
11223P0300XDentistPeriodontics18818MASSACHUSETTSYes

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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