Organization
JEFFERSON S DEXTER DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERSON SODREN DEXTER DMD (PRESIDENT)
(508) 398-3322
Entity
Organization
Contact information
Practice address
99 OLD MAIN ST, SOUTH YARMOUTH, MA 02664
(508) 398-3322
(508) 398-1679
Mailing address
99 OLD MAIN ST, SOUTH YARMOUTH, MA 02664
(508) 394-7107
(508) 398-1679
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20908
MA
Other
Enumeration date
04/04/2007
Last updated
08/22/2020
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