Individual
JAMES A. GRIECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
228 BILLERICA RD, CHELMSFORD, MA 01824-3604
(978) 250-6340
(978) 250-6354
Mailing address
147 MILK ST, PROVIDER ENROLLMENT 9TH FLOOR, BOSTON, MA 02109-4806
(978) 250-6340
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
12581
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH183
HARVARD PILGRIM
MA
01
—
X05315
BCBS - DENTAL
MA
Enumeration date
03/08/2006
Last updated
10/02/2009
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