John Michael Treeful, RDH

Individual provider Active NPI Dental Hygienist · Provincetown, MA

NPI 1134415946 · NPPES record last updated Jun 21, 2011

Key facts

NPI
1134415946
Entity type
Individual (NPI type 1)
Primary specialty
Dental Hygienist 124Q00000X
License
DH14119 (MA)
Practice address
49 Harry Kemp Way
Provincetown, MA 02657-1618
Phone
(508) 487-9395
Fax
(508) 487-3285
NPI assigned
Jun 21, 2011
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
DH14119MAMDDental Hygienist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X DH14119 MA Yes

Addresses

Primary practice location

49 Harry Kemp Way
Provincetown, MA 02657-1618

Mailing address

49 Harry Kemp Way
Provincetown, MA 02657
Phone (508) 487-9395

Other providers in Provincetown, MA

All providers in Provincetown, MA · Dental Hygienist in Massachusetts

Sources for this page

Verify at the official NPI Registry.