Provider Demographics
NPI:1275086951
Name:SEABREEZE DENTAL, P.C.
Entity Type:Organization
Organization Name:SEABREEZE DENTAL, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:T
Authorized Official - Last Name:VARINOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-766-9402
Mailing Address - Street 1:28 FAIRHAVEN RD
Mailing Address - Street 2:
Mailing Address - City:MATTAPOISETT
Mailing Address - State:MA
Mailing Address - Zip Code:02739-1479
Mailing Address - Country:US
Mailing Address - Phone:508-535-5647
Mailing Address - Fax:
Practice Address - Street 1:28 FAIRHAVEN RD
Practice Address - Street 2:
Practice Address - City:MATTAPOISETT
Practice Address - State:MA
Practice Address - Zip Code:02739-1479
Practice Address - Country:US
Practice Address - Phone:508-535-5647
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-28
Last Update Date:2016-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN 16578122300000X
MADN1857228122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty