Breakwater Dental, PC
Organization Active NPI Dentist · Brewster, MA
NPI 1255564282 · NPPES record last updated Aug 25, 2009
Key facts
- NPI
- 1255564282
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- License
- 20478 (MA)
- Legal business name
- BREAKWATER DENTAL, PC
- Practice address
- 2187 Main St
Brewster, MA 02631-1817 - Phone
- (508) 896-5951
- Fax
- (508) 896-5440
- NPI assigned
- Aug 25, 2009
- Organization subpart
- No
Authorized official
- Name
- Dr. Timothy C. McAdams, DDS
- Title
- Dentist
- Phone
- (508) 896-5951
Practitioners 4
-
Timothy C McAdams, D.D.S
-
Julia Marie Wilson, DMD
National Provider Directory
Locations
2187 Main St
Brewster, MA 02631
Phone (508) 896-5951
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | 20478 | MA | Yes |
Addresses
Primary practice location
2187 Main St
Brewster, MA 02631-1817
Mailing address
2187 Main St
Brewster, MA 02631-1817
Phone (508) 896-5951
Other providers in Brewster, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.