Provider Demographics
NPI:1386659712
Name:DAVID P. VIOLETTE, D.D.S., P.C.
Entity Type:Organization
Organization Name:DAVID P. VIOLETTE, D.D.S., P.C.
Other - Org Name:DAVID P. VIOLETTE, D.D.S., P.C.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:VIOLETTE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:508-583-5338
Mailing Address - Street 1:34 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WEST BRIDGEWATER
Mailing Address - State:MA
Mailing Address - Zip Code:02379-1735
Mailing Address - Country:US
Mailing Address - Phone:508-583-5338
Mailing Address - Fax:508-583-1398
Practice Address - Street 1:34 N MAIN ST
Practice Address - Street 2:
Practice Address - City:WEST BRIDGEWATER
Practice Address - State:MA
Practice Address - Zip Code:02379-1735
Practice Address - Country:US
Practice Address - Phone:508-583-5338
Practice Address - Fax:508-583-1398
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-31
Last Update Date:2012-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA174731223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty