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GATEWAY DENTAL ASSOC OF WAREHAM NPI 1396881728


NPI Information

NPI: 1396881728
Provider Name: GATEWAY DENTAL ASSOC OF WAREHAM
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
152 HIGH ST
WAREHAM, MA
ZIP 02571
Phone: (508) 295-2111
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GATEWAY DENTAL ASSOC OF WAREHAM is a general practice dentist in Wareham, MA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. GATEWAY DENTAL ASSOC OF WAREHAM NPI is 1396881728. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

152 HIGH ST
WAREHAM, MA
ZIP 02571
Phone: (508) 295-2111
Fax: (508) 295-5186

The provider's authorized official is Bradley Palter .
The authorized official title is Vice President and has the following contact phone number (508) 245-2111.

The enumeration date for this NPI number is 1/30/2007 and was last updated on 3/17/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice17949MASSACHUSETTSNo
21223G0001XDentistGeneral Practice14481MASSACHUSETTSYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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