Individual
DR. MYLES F HEFFERNAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
131 MAIN ST, SOUTH LANCASTER, MA 01561
(978) 365-5643
(978) 368-0145
Mailing address
PO BOX 606, SOUTH LANCASTER, MA 01561
(978) 365-5643
(978) 368-0145
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN17036
MA
Other
Enumeration date
05/10/2007
Last updated
10/05/2015
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