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Organization

COGNATA J DMD, MICHAEL&BARONE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. TERRA R BAXTER (ADMINISTRATIVE ASSISTANT)
(781) 639-4500
Entity
Organization

Contact information

Practice address
210 HUMPHREY ST, SUITE 106, MARBLEHEAD, MA 01945-1665
(781) 639-4500
(781) 639-9181
Mailing address
210 HUMPHREY ST, SUITE 106, MARBLEHEAD, MA 01945-1665
(781) 639-4500
(781) 639-9181

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
16948
MA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
13926
MA

Other

Enumeration date
03/15/2007
Last updated
09/11/2025
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