Organization
ZERVAS DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THEODORE ZERVAS DMD (MEMBER)
(860) 834-1319
Entity
Organization
Contact information
Practice address
55 FEDERAL ST STE 240, GREENFIELD, MA 01301-2549
(413) 772-0884
(413) 773-7234
Mailing address
55 FEDERAL ST STE 240, GREENFIELD, MA 01301-2549
(413) 772-0884
(413) 773-7234
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093821159
PROVIDER NPI
—
Enumeration date
08/18/2021
Last updated
08/18/2021
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