Organization
SCITUATE ORTHODONTICS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY TALBOT HODGE DMD (PRESIDENT)
(781) 545-3466
Entity
Organization
Contact information
Practice address
255 CHIEF JUSTICE CUSHING HWY, SCITUATE, MA 02066-4442
(781) 545-3466
Mailing address
255 CHIEF JUSTICE CUSHING HWY, SCITUATE, MA 02066-4442
(781) 545-3466
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
18070
MA
Other
Enumeration date
08/04/2006
Last updated
08/22/2020
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