Organization
NORBERT J SHAY DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NORBERT JAMES SHAY DMD M SCD (PRESIDENT)
(617) 269-3957
Entity
Organization
Contact information
Practice address
599 E BROADWAY, SOUTH BOSTON, MA 02127
(617) 269-3957
Mailing address
599 E BROADWAY, SOUTH BOSTON, MA 02127
(617) 269-3957
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
11025
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0234117
—
MA
05
—
97157381
—
MA
Enumeration date
08/15/2006
Last updated
08/22/2020
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