Wellfleet Dental Group
Dentist, Prosthodontics in Wellfleet, MA. Organization (NPI-2).
NPI number1366735474
StatusActive
Last updated in NPPESMay 23, 2011
Details
- NPI
- 1366735474
- Entity type
- Organization (NPI-2)
- Legal business name
- Wellfleet Dental Group
- Organization subpart
- No
- Enumeration date
- May 23, 2011
- Last updated
- May 23, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0700X | Dentist, Prosthodontics | DN14506 | MA | Yes |
| 1223G0001X | Dentist, General Practice | DN1855424 | MA | |
| 1223G0001X | Dentist, General Practice | DN14296 | MA |
Practice location
355 Main StWellfleet, MA 02667-7432
Phone 339-927-4206
Mailing address
355 Main StP.O. Box 1433
Wellfleet, MA 02667-7432
Phone 339-927-4206
Authorized official
Kevin Francis Toomey
Owner/Prosthodontist
3399274206
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