- Practice location
- 207 Upper Main St, Edgartown, MA 02539-5927
- Phone
- 508-939-9000
- Fax
- 508-939-8537
- Last updated
- January 21, 2010
Main Street Dental is a healthcare organization based in Edgartown, MA. Main Street Dental practices in Edgartown, MA. The NPI Number for Main Street Dental is 1124359773 and holds a License No. 19314 (MA). The current practice location address for Main Street Dental is 207 Upper Main St, Edgartown, MA 02539-5927 and can be reached out via phone at 508-939-9000 and via fax at 508-939-8537.
Provider Profile Details
- NPI Number
- 1124359773
- Provider Name
- Main Street Dental
- Provider Entity Type
- Organization
- Address
- 207 Upper Main St, Edgartown, MA 02539-5927
- Phone Number
- 508-939-9000
- Fax Number
- 508-939-8537
- Primary Taxonomy
- Dentist · 122300000X
- Organization Subpart
- No
- Authorized Official
- Dr. John Clyde Hartley, DDS · Owner · 508-939-9000
- Provider Enumeration Date
- January 21, 2010
- Last Update Date
- January 21, 2010
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 207 Upper Main St
Edgartown, MA 02539-5927 - City
- Edgartown
- State
- Massachusetts
- Zip
- 02539-5927
- Phone Number
- 508-939-9000
- Fax Number
- 508-939-8537
Provider Business Mailing Address Details
- Address
- Po Box 2135
Edgartown, MA 02539-2135 - City
- Edgartown
- State
- MA
- Zip
- 02539-2135
- Phone Number
- 508-939-9000
- Fax Number
- 508-939-8537
License Information
- License Number
- 19314
- License State
- MA
- Taxonomy
- Dentist · 122300000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentists near Edgartown, MA
View all Dentists in Edgartown →Frequently Asked Questions
What is the NPI number of Main Street Dental?
The NPI number of Main Street Dental is 1124359773. It was assigned on January 21, 2010 and is currently active in the NPPES registry.
What is the specialty of Main Street Dental?
Main Street Dental is registered under the primary taxonomy Dentist (code 122300000X), licensed in MA under license number 19314.
Where does Main Street Dental practice?
The practice location is 207 Upper Main St, Edgartown, MA 02539-5927. The office can be reached at 508-939-9000 (phone) or 508-939-8537 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124359773 directly on the NPPES registry website.