NPI 1669777256

Bourne Dental Associates, LLC

Organisation General Practice Dentistry Bourne, MA

Practice location

Address: 1 Technology Park Dr Suite 1c, Bourne, MA 02532-8336
Phone: (508) 759-2724

Authorised official

Name: Suraiya M Shaikh
Title: President
Phone: (508) 759-2724

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 20133 (MA)

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Registry record

NPI: 1669777256
Entity type: Organization
NPI issued: 13 Jan 2011
Record last updated: 13 Jan 2011

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.