Individual
MICHELE MARIE LECOMTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS, PC
Contact information
Practice address
863 COUNTY ST, SOMERSET, MA 02726-5033
(508) 674-4556
(508) 674-5360
Mailing address
863 COUNTY ST, SOMERSET, MA 02726-5033
(508) 674-4556
(508) 674-5360
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14295
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001021
DELTA DENTAL OF MA PROVID
MA
01
—
X08388
BC/BS PRIOVIDER NUMBER
MA
Enumeration date
07/06/2006
Last updated
07/08/2007
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