Eileen C Brusseau
Individual provider Active NPI General Practice Dentistry · Townsend, MA
NPI 1285704577 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1285704577
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 20968 (MA)
- Practice address
- 162 Main St
Townsend, MA 01469-1038 - Phone
- (978) 597-8909
- Fax
- (978) 597-8909
- NPI assigned
- Nov 8, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20968 | MA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mark S Rosebush DMD PC | General Practice | Past | Accepting new patients |
| Dr.Ramya Suresh DMD PC | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 20968 | MA | Yes |
Addresses
Primary practice location
162 Main St
Townsend, MA 01469-1038
Mailing address
162 Main St
Townsend, MA 01469-1038
Phone (978) 597-8909
Other providers in Townsend, MA
- Nancy E. Amante
- Kathleen Avison
- Linda Ewa Belzowski
- Breese Community Services LLC
- Ona Girnius Brown
- Glen Roy Carkin
- Lawrence A Churchville III
- Ursula Cieplik
- Community Care Group , LLC
- Teresa Coyle-Airey
All providers in Townsend, MA · General Practice Dentistry in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.