Organization
BROOKLINE ENDODONTICS, P.C.
Active
Other names
ENDODONTICS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH JOHN WILLIAMS D.D.S. (PRESIDENT)
(617) 735-8500
Entity
Organization
Contact information
Practice address
1 BROOKLINE PL, SUITE 505, BROOKLINE, MA 02445-7224
(617) 735-8500
(617) 735-1859
Mailing address
1 BROOKLINE PL, SUITE 505, BROOKLINE, MA 02445-7224
(617) 735-8500
(617) 735-1859
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
X11836
BC/BS PROVIDER NUMBER
MA
Enumeration date
12/07/2005
Last updated
08/22/2020
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