Organization
DININNO FAMILY DENTAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS J. DININNO III DMD (PRESIDENT)
(978) 342-8710
Entity
Organization
Contact information
Practice address
931 SOUTH ST, FITCHBURG, MA 01420-7019
(978) 342-8710
Mailing address
931 SOUTH ST, FITCHBURG, MA 01420-7019
(978) 342-8710
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
13917
MA
1223G0001X
General Practice Dentistry
Primary
DN1855976
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110009851A
—
MA
05
—
110092868A
—
MA
Enumeration date
03/20/2008
Last updated
01/28/2016
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