Stoughton Dental Group, LLC
Dentist, General Practice in Stoughton, MA. Organization (NPI-2).
NPI number1003166299
StatusActive
Last updated in NPPESSep 14, 2012
Details
- NPI
- 1003166299
- Entity type
- Organization (NPI-2)
- Legal business name
- Stoughton Dental Group, LLC
- Organization subpart
- No
- Enumeration date
- Sep 14, 2012
- Last updated
- Sep 14, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
| 1223P0300X | Dentist, Periodontics | – | – |
Practice location
35 Park StStoughton, MA 02072-2913
Phone 781-344-9512
Mailing address
35 Park StStoughton, MA 02072-2913
Phone 781-344-9512
Authorized official
Todd Pizzi
Owner
7813449512
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