Organization Name: | WOODS HOLE DENTAL CARE |
NPI Number: | 1699909606 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TIMOTHY C MCADAMS (OWNER) |
Mailing Address: | 91 Water St Woods Hole |
State: | MA US |
Postal Code: | 025431025 |
Phone Number: | 5085486655 |
Fax Number: | |
NPI Enumeration Date: | 05/05/2009 |
NPI Last Update Date: | 05/05/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QD0000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Dental |
Taxonomy Definition: |