Organization
ORANGE DENTAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DWIGHT K STOWELL JR. D.M.D. (OWNER)
(978) 249-8545
Entity
Organization
Contact information
Practice address
9 GROVE ST, ORANGE, MA 01364-1009
(978) 544-3515
(978) 544-2104
Mailing address
9 GROVE ST, ORANGE, MA 01364-1009
(978) 544-3515
(978) 544-2104
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12736
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
922
DELTA DENTAL
MA
05
—
9794298
—
MA
01
—
X12693
BLUECROSS BLUESHIELD OF MA
MA
Enumeration date
03/16/2007
Last updated
06/16/2008
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