NPI: 1720100456 · SOUTH YARMOUTH, MA 02664 · General Practice Dentistry · NPI assigned 04/04/2007
| Authorized Official | DEXTER, JEFFERSON (PRESIDENT) |
| NPI Enumeration Date | 04/04/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12 | $309.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | 12 | 12 | $309.00 |