Organization
N. KENNETH LAMURA, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAURA J PALMER CDA (RECEPTIONIST)
(508) 347-9503
Entity
Organization
Contact information
Practice address
58 MAIN ST, STURBRIDGE, MA 01566-1507
(508) 347-9503
(508) 347-5337
Mailing address
58 MAIN ST, STURBRIDGE, MA 01566-1507
(508) 347-9503
(508) 347-5337
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
11756
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0011756B
FALLON
MA
01
—
0100197
DELTA DENTAL OF MA
MA
01
—
011756B
TUFTS
MA
01
—
16340
HARVARD PILGRIM
MA
01
—
43942
CIGNA
MA
01
—
98379601
NETWORK HEALTH
MA
01
—
X10159 / V04120
BCBS OF MA
MA
Enumeration date
09/11/2007
Last updated
10/21/2008
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