Organization
QUINCY DENTAL
Active
Other names
saade management
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARYANN THOMAS DMD (DENTIST)
(617) 471-4449
Entity
Organization
Contact information
Practice address
875 SOUTHERN ARTERY, QUINCY, MA 02169-7122
(617) 471-4449
(617) 657-0775
Mailing address
875 SOUTHERN ARTERY, QUINCY, MA 02169-7122
(617) 471-4449
(617) 657-0775
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
18200
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
334539
UNITED CONCORDIA
—
05
—
9704540
—
MA
01
—
X11163
BLUE CROSS/BLUE SHIELD
MA
Enumeration date
03/01/2006
Last updated
08/22/2020
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