Organization
BRAIN DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM SCOTT LIGHTFOOT DDS (OWNER)
(617) 780-0565
Entity
Organization
Contact information
Practice address
400 WASHINGTON ST STE 304, BRAINTREE, MA 02184-4768
(781) 848-2775
Mailing address
10 SHIPYARD DR APT 206, HINGHAM, MA 02043-1680
(617) 780-0565
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
08/31/2022
Last updated
08/31/2022
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