Individual
JOHN R KASHMANIAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
55 EVERETT STREET, SOUTHBRIDGE, MA 01550
(508) 765-0099
(508) 765-0091
Mailing address
55 EVERETT STREET, SOUTHBRIDGE, MA 01550
(508) 765-0099
(508) 765-0091
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
0016765
MA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
007615
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0273147
—
MA
01
—
12207
FALLON COMMUNITY HEALTH P
—
01
—
16531
HARVARD PILGRIM HEALTHCAR
—
01
—
368390
CIGNA
—
01
—
682
DELTA DENTAL MA
MA
01
—
754041
TUFTS HEALTH PLAN
—
01
—
792734
UNITED CONCORDIA
—
01
—
983782
NETWORK HEALTH
MA
01
—
X06293
BCBS MEDICAL AND DENTAL
MA
Enumeration date
03/27/2006
Last updated
07/08/2007
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