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Mr. Edward Stephen Radivonyk JR., DMD
General Practice Dentistry in Fitchburg, Massachusetts
NPI 1336205699

Edward Stephen Radivonyk JR. is a General Practice Dentistry based in Fitchburg, MA and is specialized in General Practice. Edward Stephen Radivonyk JR. practices in Fitchburg, MA and has the professional credentials of DMD. The NPI Number for Edward Stephen Radivonyk JR. is 1336205699 and holds a License No. DN16221 (Massachusetts).

The current practice location address for Edward Stephen Radivonyk JR. is 637 Main Street, Fitchburg, MA and can be reached out via phone at 978-342-2222 and via fax at 978-342-1292.

Location: 637 Main Street, Fitchburg, MA, 01420-3107
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336205699
Provider Name
Edward Stephen Radivonyk JR.
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
637 Main Street, Fitchburg, MA, 01420-3107
Phone Number
978-342-2222
Fax Number
978-342-1292
Provider Enumeration Date
12/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0269441 05 MA
institution
Provider Business Practice Location Address Details
Address
637 Main Street
City
Fitchburg
State
Massachusetts
Zip
01420-3107
Phone Number
978-342-2222
Fax Number
978-342-1292
person
Provider Business Mailing Address Details
Address
637 Main Street
City
Fitchburg
State
Massachusetts
Zip
01420-3107
Phone Number
978-342-2222
Fax Number
978-342-1292
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
DN16221 (Massachusetts)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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