SOUTH SHORE PERIODONTICS LLP NPI 1669566519

NPI Information

SOUTH SHORE PERIODONTICS LLP is a periodontics dentist in Hingham, 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. SOUTH SHORE PERIODONTICS LLP NPI is 1669566519. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

175 DERBY STREET
SUITE #11
HINGHAM, MA
ZIP 02043
Phone: (781) 749-9444
Fax: (781) 749-4487

The provider's authorized official is James T Ubertalli .
The authorized official title is Owner Partner and has the following contact phone number (781) 749-9444.

The CLIA number assigned to this NPI record is 22D2184291 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/3/2006 and was last updated on 8/22/2020.

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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