Organization
SOUTH SHORE PERIODONTICS LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES T UBERTALLI DMD (OWNER PARTNER)
(781) 749-9444
Entity
Organization
Contact information
Practice address
175 DERBY STREET, SUITE #11, HINGHAM, MA 02043
(781) 749-9444
(781) 749-4487
Mailing address
175 DERBY STREET, SUITE #11, HINGHAM, MA 02043
(781) 749-9444
(781) 749-4487
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
18143
MA
1223P0300X
Periodontics
19645
MA
Other
Enumeration date
10/03/2006
Last updated
08/22/2020
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