Provider Demographics
NPI:1093118747
Name:KEVIN W. QUINN, DMD, P.C.
Entity Type:Organization
Organization Name:KEVIN W. QUINN, DMD, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:W
Authorized Official - Last Name:QUINN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-997-2999
Mailing Address - Street 1:74 FAUNCE CORNER RD
Mailing Address - Street 2:SUITE 620
Mailing Address - City:N DARTMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02747-1209
Mailing Address - Country:US
Mailing Address - Phone:508-997-2999
Mailing Address - Fax:508-997-5099
Practice Address - Street 1:74 FAUNCE CORNER RD
Practice Address - Street 2:SUITE 620
Practice Address - City:N DARTMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02747-1209
Practice Address - Country:US
Practice Address - Phone:508-997-2999
Practice Address - Fax:508-997-5099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-08
Last Update Date:2014-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA204901223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0300XDental ProvidersDentistPeriodonticsGroup - Single Specialty