Male or Other

Michael J. Scanlon D.D.S.

General Practice Dentistry in Raynham, MA(View on Map)

Full Name

Michael Joseph Scanlon D.D.S.

NPI Number

1265453567

NPI Type

Individual Provider

Gender

Male

Enumeration Date

07/21/2006

Specialties

(Taxonomies)

Code

1223G0001X

Primary Taxonomy

Yes

Licenses

State

Massachusetts

License Number

16211

Contact
Information

Purpose

Mailing
Location

Address

688 ORCHARD ST
688 ORCHARD ST

City

Raynham
Raynham

State

MA
MA

Postal Code

02767-1342
02767-1342

Country

US
US

Telephone Number

(508) 824-2202
(508) 824-2202

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address

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