NPI 1063963353

Fitchburgh Dentistry and Braces PC

Organisation Point of Service Fitchburg, MA

Practice location

Address: 505 John Fitch Hwy, Fitchburg, MA 01420-8403
Phone: (508) 460-0632
Mailing address: 5 Mount Royal Ave Suite 300, Marlborough, MA 01752-1981

Authorised official

Name: Joanne Tavano
Title: Chief Operating Officer
Phone: (978) 580-1524

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X

Other Point of Service providers in Massachusetts →

Registry record

NPI: 1063963353
Entity type: Organization
NPI issued: 21 Oct 2016
Record last updated: 21 Oct 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.