Individual
DR. JOHN FRANCIS SCANLON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
17 MAIN ST, BOYLSTON, MA 01505-1948
(508) 869-6388
(508) 869-2910
Mailing address
13 JOB CUSHING RD, SHREWSBURY, MA 01545-2332
(508) 842-3636
(508) 869-2910
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14415
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14415
STATE LICENSE
MA
Enumeration date
10/17/2005
Last updated
07/08/2007
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