Provider Demographics
NPI:1073757050
Name:HARRY P. TREON INC
Entity Type:Organization
Organization Name:HARRY P. TREON INC
Other - Org Name:DENTAL COLLABORATIVE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HARRY
Authorized Official - Middle Name:P
Authorized Official - Last Name:TREON
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:617-323-6020
Mailing Address - Street 1:4452 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:ROSLINDALE
Mailing Address - State:MA
Mailing Address - Zip Code:02131-3440
Mailing Address - Country:US
Mailing Address - Phone:617-323-6020
Mailing Address - Fax:617-327-2977
Practice Address - Street 1:4452 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:ROSLINDALE
Practice Address - State:MA
Practice Address - Zip Code:02131-3440
Practice Address - Country:US
Practice Address - Phone:617-323-6020
Practice Address - Fax:617-327-2977
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-22
Last Update Date:2009-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA18445122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty