Barry J Agranat Dmp Pc in Watertown - Oral And Maxillofacial Surgery

Barry J Agranat Dmp Pc - NPI 1629055017

Barry J Agranat Dmp Pc is a Oral And Maxillofacial Surgery in Watertown, Massachusetts. Barry J Agranat Dmp Pc practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Barry J Agranat Dmp Pc is 1629055017. The last update date is 2008-07-02.

Barry J Agranat Dmp Pc's current location address is 106 Mount Auburn St, Watertown, Massachusetts. You can contact this provider via phone number 6179240910 and fax number 6179266739. The mailing address for Barry J Agranat Dmp Pc is 106 Mount Auburn St, Watertown, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Organization Barry J Agranat Dmp Pc
Address 106 Mount Auburn St, Watertown, Massachusetts
Phone Number 6179240910
Fax Number 6179266739
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Agranat J Barry
Credentials DMD
Telephone Number 6179240910

NPI Number Detail

NPI Number 1629055017
Provider Enumeration Date 2005-12-27
Last Updated Date 2008-07-02

Provider Mailing Address Detail

Address 106 Mount Auburn St
City Watertown
State Massachusetts (MA)
Post Code 24723931
Phone Number 6179240910
Fax Number 6179266739

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Surgery
Taxonomy 1223S0112X
Licence No 9699
Definition:
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
16166 MA HARVARD PILGRIM HEALTH
X10650 MA BLUE CROSS SHIELD

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FAQs about Barry J Agranat Dmp Pc

What is the unique identifier code issued to Barry J Agranat Dmp Pc by the Centers for Medicare & Medicaid Services (CMS)?

The Barry J Agranat Dmp Pc has been assigned the NPI (National Provider Identifier) 1629055017. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete street address where Barry J Agranat Dmp Pc is physically located?

The Barry J Agranat Dmp Pc is physically situated at the following address: 106 Mount Auburn St, Watertown, MA, 24723931.

What is Barry J Agranat Dmp Pc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Barry J Agranat Dmp Pc is Oral And Maxillofacial Surgery, and the taxonomy code that categorizes this field of expertise is 1223S0112X.

On what date did the Centers for Medicare & Medicaid Services issue the 1629055017 to Barry J Agranat Dmp Pc?

The Barry J Agranat Dmp Pc received its 1629055017 assignment from the Centers for Medicare & Medicaid Services on 2005-12-27.

As of what date were the details related to Barry J Agranat Dmp Pc most recently updated or revised?

The information pertaining to Barry J Agranat Dmp Pc, including its address, specialty, and other relevant details, was last updated or revised on 2008-07-02.

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