Organization
J.MICHAEL PEPEK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
J.MICHAEL PEPEK DDS (DOCTOR)
(413) 562-1112
Entity
Organization
Contact information
Practice address
53 COURT ST, WESTFIELD, MA 01085-3555
(413) 562-1112
(413) 562-2121
Mailing address
53 COURT ST, WESTFIELD, MA 01085-3555
(413) 562-1112
(413) 562-2121
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
213381
MASS HEALTH
MA
Enumeration date
11/03/2008
Last updated
11/03/2008
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