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Philip Wadsworth
General Practice Dentistry in Malden, Massachusetts
NPI 1972915726

Philip Wadsworth is a General Practice Dentistry based in Medford, MA and is specialized in General Practice. Philip Wadsworth practices in Malden, MA. The NPI Number for Philip Wadsworth is 1972915726 and holds a License No. DN1856641 (Massachusetts).

The current practice location address for Philip Wadsworth is 6 Island Hill Ave Apt 412, Malden, MA and can be reached out via phone at 570-561-4759. You can also correspond with Philip Wadsworth through the mailing address at 100 RIVERS EDGE DR UNIT 326, MEDFORD, MA - 02155-5471 (mailing address contact number: ).

Location: 6 Island Hill Ave Apt 412, Malden, MA, 02155-5471
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972915726
Provider Name
Philip Wadsworth
Credential
Provider Entity Type
Individual
Gender
Male
Address
6 Island Hill Ave Apt 412, Malden, MA, 02155-5471
Phone Number
570-561-4759
Fax Number
Provider Enumeration Date
05/28/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6 Island Hill Ave Apt 412
City
Malden
State
Massachusetts
Zip
02148-2651
Phone Number
570-561-4759
Fax Number
person
Provider Business Mailing Address Details
Address
6 Island Hill Ave Apt 412
City
Malden
State
Massachusetts
Zip
02148-2651
Phone Number
570-561-4759
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
DN1856641 (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.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
DN1856641 (Massachusetts)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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