Individual
DR. PETER JOHN REGAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
69 MAIN ST., LAKEVILLE, MA 02347-1618
(508) 947-7400
Mailing address
69 MAIN ST., LAKEVILLE, MA 02347-1618
(508) 947-7400
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12909
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0249114
—
MA
01
—
XO4903RE
BLUE CROSS/BLUE SHIELD
MA
Enumeration date
09/21/2006
Last updated
07/09/2007
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