Organization
HYANNIS DENTAL GROUP PROFESSIONAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANET NEFF (OFFICE MANAGER)
(774) 470-2876
Entity
Organization
Contact information
Practice address
17 SCHOOL ST, HYANNIS, MA 02601-3117
(774) 470-2876
(774) 470-6191
Mailing address
17 SCHOOL ST, HYANNIS, MA 02601-3117
(774) 470-2876
(774) 470-6191
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110008422A
—
MA
Enumeration date
04/26/2018
Last updated
04/26/2018
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