David E Waterfall DMD PC

Organization Active NPI General Practice Dentistry · Holden, MA

NPI 1700260809 · NPPES record last updated Jul 17, 2015

Key facts

NPI
1700260809
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
License
DN13193 (MA)
Legal business name
DAVID E WATERFALL DMD PC
Practice address
1084 Main St
Holden, MA 01520-1286
Phone
(508) 829-4575
Fax
(508) 829-9805
NPI assigned
Jul 17, 2015
Organization subpart
No

Authorized official

Name
Dr. David E Waterfall
Title
DMD
Phone
(508) 829-4575

Practitioners 1

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

National Provider Directory

Locations

1084 Main St
Holden, MA 01520
Phone (508) 829-4575

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X DN13193 MA Yes

Addresses

Primary practice location

1084 Main St
Holden, MA 01520-1286

Mailing address

1084 Main St
Holden, MA 01520-1286
Phone (508) 829-4575

Other providers in Holden, MA

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

Sources for this page

Verify at the official NPI Registry.