Organization
BELMONT DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES L. NAGER D.M.D. (PRACTICE OWNER, D.M.D.)
(617) 484-2431
Entity
Organization
Contact information
Practice address
57 CONCORD AVE, BELMONT, MA 02478-4073
(617) 484-2431
(617) 484-2745
Mailing address
57 CONCORD AVE, BELMONT, MA 02478-4073
(617) 484-2431
(617) 484-2745
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
X10227
BLUE CROSS BLUE SHIELD
MA
Enumeration date
01/29/2007
Last updated
08/22/2020
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