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Organization
TRUSTEES OF TUFTS UNIVERISTY
Active
Organization
TRUSTEES OF TUFTS UNIVERISTY
Active
Other names
Tufts Dental Facility Amherst
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN PATRICK MORGAN JR. (ADMINISTRATIVE DIRECTOR)
(781) 899-6020
Entity
Organization
Contact information
Practice address
6 UNIVERSITY DR, AMHERST, MA 01002-2360
(413) 549-1727
(413) 549-1732
Mailing address
6 UNIVERSITY DR, AMHERST, MA 01002-2360
(413) 549-1727
(413) 549-1732
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
20040
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0272205
MASSHEALTH PROVIDER NUMBE
MA
Enumeration date
04/11/2007
Last updated
08/22/2020
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