institution
South Boston Dental Associates
Dental Clinic/Center in South Boston, Massachusetts
NPI 1356563316

South Boston Dental Associates is a Dental Clinic/Center based in South Boston, MA and is specialized in Dental. South Boston Dental Associates practices in South Boston, MA. The NPI Number for South Boston Dental Associates is 1356563316 and holds a License No. (Massachusetts).

The current practice location address for South Boston Dental Associates is 29 Farragut Rd, South Boston, MA and can be reached out via phone at 617-268-1030.

Location: 29 Farragut Rd, South Boston, MA, 02127-1714
institution
Provider Profile Details
NPI Number
1356563316
Provider Name
South Boston Dental Associates
Credential
Provider Entity Type
Organization
Address
29 Farragut Rd, South Boston, MA, 02127-1714
Phone Number
617-268-1030
Fax Number
Provider Enumeration Date
05/02/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
X10143 01 BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
29 Farragut Rd
City
State
Zip
02127-1714
Phone Number
617-268-1030
Fax Number
person
Provider Business Mailing Address Details
Address
29 Farragut Rd
City
State
Zip
02127-1714
Phone Number
617-268-1030
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
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Definition
Definition to come...
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