Organization
SOUTHAMPTON FAMILY DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY W CULLINGTON D.M.D. (OWNER)
(413) 527-5205
Entity
Organization
Contact information
Practice address
4 LINE STREET, SOUTHAMPTON, MA 01073
(413) 527-5205
(413) 527-7822
Mailing address
4 LINE STREET, SOUTHAMPTON, MA 01073
(413) 527-5205
(413) 527-7822
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
016907
MA
Other
Enumeration date
09/19/2007
Last updated
02/13/2012
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