Village Dental Group, Pc

NPI 1861833055 - Clinic/Center - 261QD0000X

NPI Details
NPI 1861833055
Enumeration Date 07/16/2013
Last Updated 07/16/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name NICHOLAS THEODORE NICHOLAS
Position PRESIDENT
Phone (508) 845-1156
Fax (508) 845-1157
Practice Location
622 MAIN ST
SHREWSBURY MA, 01545-5639, US
Phone (508) 845-1156
Fax (508) 845-1157
Business Location
622 MAIN ST
SHREWSBURY MA, 01545-5639, US
Phone (508) 845-1156
Fax (508) 845-1157
Toxanomy
Taxonomy Code 261QD0000X
License State Massachusetts
License Number 18093
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According to our database, Village Dental Group, Pc NPI is 1861833055, taxonomy code is 261QD0000X and license number is 18093, license state is located at Massachusetts. Village Dental Group, Pc physically located at 622 Main St, Shrewsbury MA, 01545-5639. NPI Number 1033115704 has the healthcare provider type.

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1861833055 NPI number is provided on an as is basis without warranty of any kind. 1861833055 is maintained by the National Plan & Provider Enumeration System. The contents of Village Dental Group, Pc are for informational purposes only.