Organization Name: | DENTAL ASSOCIATES OF WALPOLE |
NPI Number: | 1255411831 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHRISTOPHER RUSSELL PAGE (PARTNER/OWNER) |
Mailing Address: | 1428 Main St Suite 1 Walpole |
State: | MA US |
Postal Code: | 020811729 |
Phone Number: | 5086688008 |
Fax Number: | 5086688808 |
NPI Enumeration Date: | 10/17/2006 |
NPI Last Update Date: | 02/24/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0221X |
License Number: | 12246 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MA |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Pediatric Dentistry |
Taxonomy Definition: | An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |