Jay M Decoteau in Groton - Orthodontics And Dentofacial Orthopedics

Jay M Decoteau - NPI 1659436418

Jay M Decoteau is a Orthodontics And Dentofacial Orthopedics in Groton, Massachusetts. Jay M Decoteau practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Jay M Decoteau is 1659436418. The last update date is 2007-07-08.

Jay M Decoteau's current location address is 300 Main Street, Groton, Massachusetts. You can contact this provider via phone number 9784482300 and fax number 9784488050. The mailing address for Jay M Decoteau is 300 Main Street, Groton, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Jay M Decoteau
Address 300 Main Street, Groton, Massachusetts
Phone Number 9784482300
Fax Number 9784488050
Sole Proprietor N
Credentials DMD

NPI Number Detail

NPI Number 1659436418
Provider Enumeration Date 2006-12-22
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 300 Main Street
City Groton
State Massachusetts (MA)
Post Code 1450
Phone Number 9784482300
Fax Number 9784488050

Provider's Primary Taxonomy Detail

Speciality Orthodontics And Dentofacial Orthopedics
Taxonomy 1223X0400X
Licence No 16575
Definition:
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel

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FAQs about Jay M Decoteau

What is the unique identifier code issued to Jay M Decoteau by the Centers for Medicare & Medicaid Services?

The Jay M Decoteau has been assigned the NPI (National Provider Identifier) 1659436418. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Jay M Decoteau's facilities are geographically located?

The facilities of Jay M Decoteau are physically situated at the following location: 300 Main Street, Groton, MA, 1450.

What is the area of specialization for Jay M Decoteau, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Jay M Decoteau is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code that categorizes this area of expertise is 1223X0400X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1659436418 to Jay M Decoteau?

The Centers for Medicare & Medicaid Services originally issued the 1659436418 to Jay M Decoteau on 2006-12-22.

When was the information regarding Jay M Decoteau, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Jay M Decoteau, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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