Millis Dental Care, PC

Organization Active NPI General Practice Dentistry · Millis, MA

NPI 1629567243 · NPPES record last updated May 9, 2018

Key facts

NPI
1629567243
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
License
DN1856691 (MA)
Legal business name
MILLIS DENTAL CARE, PC
Practice address
Millis Dental Care, PC
840 Main Street, Suite 112
Millis, MA 02054-1542
Phone
(508) 556-0882
Fax
(508) 376-8997
NPI assigned
May 9, 2018
Organization subpart
No

Authorized official

Name
Renee Graveline
Title
Credentialing Specialist
Phone
(774) 241-6254

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X DN1856691 MA Yes

Addresses

Primary practice location

Millis Dental Care, PC
840 Main Street, Suite 112
Millis, MA 02054-1542

Mailing address

28 Maplewood Ave
Sudbury, MA 01776-1534
Phone (617) 999-7686

Other providers in Millis, MA

All providers in Millis, MA · General Practice Dentistry in Massachusetts

Sources for this page

Verify at the official NPI Registry.