Individual
DR. JOHN THOMAS CARABATSOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
888 WORCESTER ST, SUITE 130, WELLESLEY, MA 02482-3744
(617) 964-6681
(888) 662-0859
Mailing address
888 WORCESTER ST, SUITE 130, WELLESLEY, MA 02482-3744
(617) 964-6681
(339) 686-2561
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
16207
MA
122300000X
Dentist
DEN02826
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0273546
—
MA
01
—
8168-9
BLUE CROSS BLUE SHIELD
RI
05
—
JC51861
—
RI
01
—
V05413
BLUE CROSS BLUE SHIELD
MA
Enumeration date
07/31/2006
Last updated
10/12/2012
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