Provider Demographics
NPI:1871768945
Name:ENDODONTIC CENTER, P.C.
Entity type:Organization
Organization Name:ENDODONTIC CENTER, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:M
Authorized Official - Last Name:HOYO
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:508-942-9705
Mailing Address - Street 1:1256 PARK ST
Mailing Address - Street 2:SUITE 203
Mailing Address - City:STOUGHTON
Mailing Address - State:MA
Mailing Address - Zip Code:02072-3745
Mailing Address - Country:US
Mailing Address - Phone:781-341-5300
Mailing Address - Fax:781-341-1211
Practice Address - Street 1:1256 PARK ST
Practice Address - Street 2:SUITE 203
Practice Address - City:STOUGHTON
Practice Address - State:MA
Practice Address - Zip Code:02072-3745
Practice Address - Country:US
Practice Address - Phone:781-341-5300
Practice Address - Fax:781-341-1211
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-29
Last Update Date:2008-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA182951223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty