Organization
JACK B SHARE DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK BENNET SHARE DDS (OWNER/CEO)
(617) 742-1350
Entity
Organization
Contact information
Practice address
31 STATE STREET, BOSTON, MA 02109
(617) 742-1350
(617) 742-2044
Mailing address
31 STATE STREET, BOSTON, MA 02109
(617) 742-1350
(617) 742-2044
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
15456
MA
Other
Enumeration date
08/30/2006
Last updated
08/22/2020
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