Individual
DR. JOHN P. MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
635 METHUEN ST, DRACUT, MA 01826-5220
(978) 458-8845
Mailing address
635 METHUEN ST, DRACUT, MA 01826-5220
(978) 458-8845
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12900
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0246123
—
MA
Enumeration date
07/12/2006
Last updated
07/08/2007
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