NPI 1659306934 · live from the CMS NPI Registry
Alfred M Bongiorno, DMD
Dentist, Orthodontics and Dentofacial Orthopedics in Middleboro, MA. National Provider Identifier 1659306934, active.
NPI record
| NPI | 1659306934 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 511 West Grove Street, Room 205, Middleboro, MA 02346 |
| Practice phone | 508-947-8209 |
| Enumerated | July 12, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 13163 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.