Organization
PEDODONTIC ASSOCIATES OF NEWTON, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL C SHEFF D.M.D., M.SC.D. (PRESIDENT)
(617) 332-2900
Entity
Organization
Contact information
Practice address
221 WASHINGTON ST, NEWTON, MA 02458-1726
(617) 332-2900
Mailing address
221 WASHINGTON ST, NEWTON, MA 02458-1726
(617) 332-2900
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
10457
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00099
DELTA DENTAL
MA
05
—
9707263
—
MA
Enumeration date
12/04/2006
Last updated
08/22/2020
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