Organization
STUART H SANDREW DDS MSD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STUART HOWARD SANDREW DDS MSD (PRESIDENT)
(413) 445-4592
Entity
Organization
Contact information
Practice address
435 SOUTH STREET, PITTSFIELD, MA 01201
(413) 445-4592
(413) 445-6756
Mailing address
435 SOUTH STREET, PITTSFIELD, MA 01201
(413) 445-4592
(413) 445-6756
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
10127
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
X11861
BCBS DENTAL
MA
Enumeration date
07/16/2006
Last updated
08/22/2020
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