Barry J Agranat DMP PC

Organization Active NPI Oral and Maxillofacial Surgery (Dentist) · Watertown, MA

NPI 1629055017 · NPPES record last updated Jul 2, 2008

Key facts

NPI
1629055017
Entity type
Organization (NPI type 2)
Primary specialty
Oral and Maxillofacial Surgery (Dentist) 1223S0112X
License
9699 (MA)
Legal business name
BARRY J AGRANAT DMP PC
Practice address
106 Mount Auburn St
Watertown, MA 02472-3931
Phone
(617) 924-0910
Fax
(617) 926-6739
NPI assigned
Dec 27, 2005
Organization subpart
Yes
Parent organization (as reported)
BARRY J AGRANAT DMP PC

Authorized official

Name
Dr. Barry J Agranat, DMD
Title
Owner
Phone
(617) 924-0910

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Part of
Barry J Agranat

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)
Group: 193400000X SINGLE SPECIALTY GROUP
1223S0112X 9699 MA Yes

Addresses

Primary practice location

106 Mount Auburn St
Watertown, MA 02472-3931

Mailing address

106 Mount Auburn St
Watertown, MA 02472-3931
Phone (617) 924-0910

Other identifiers

IdentifierTypeStateIssuer
16166OtherMAHARVARD PILGRIM HEALTH
X10650OtherMABLUE CROSS SHIELD

Other names

  • Dr Barry J Agranat Doing business as

Other providers in Watertown, MA

All providers in Watertown, MA · Oral and Maxillofacial Surgery (Dentist) in Massachusetts

Sources for this page

Verify at the official NPI Registry.