person
Alexander Athanasiou
Pediatric Dentist in Stoughton, Massachusetts
NPI 1760603401

Alexander Athanasiou is a Pediatric Dentist based in South Easton, MA and is specialized in Pediatric Dentistry. Alexander Athanasiou practices in Stoughton, MA. The NPI Number for Alexander Athanasiou is 1760603401 and holds a License No. 20896 (Massachusetts).

The current practice location address for Alexander Athanasiou is 966C Park St, Stoughton, MA and can be reached out via phone at 781-341-0030 and via fax at 781-341-1166.

Location: 966C Park St, Stoughton, MA, 02375-1433
person
Provider Profile Details
NPI Number
1760603401
Provider Name
Alexander Athanasiou
Credential
Provider Entity Type
Individual
Gender
Male
Address
966C Park St, Stoughton, MA, 02375-1433
Phone Number
781-341-0030
Fax Number
781-341-1166
Provider Enumeration Date
05/01/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
966C Park St
City
State
Zip
02072-3650
Phone Number
781-341-0030
Fax Number
781-341-1166
person
Provider Business Mailing Address Details
Address
966C Park St
City
State
Zip
02072-3650
Phone Number
781-341-0030
Fax Number
781-341-1166
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
20896 (Massachusetts)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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