Provider Demographics
NPI:1518229640
Name:SWEENEY REGAN, CATHERINE TERESA (DDS)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:TERESA
Last Name:SWEENEY REGAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:CATHERINE
Other - Middle Name:TERESA
Other - Last Name:SWEENEY REGAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:539 ADAMS ST
Mailing Address - Street 2:
Mailing Address - City:MILTON
Mailing Address - State:MA
Mailing Address - Zip Code:02186-5621
Mailing Address - Country:US
Mailing Address - Phone:617-698-3636
Mailing Address - Fax:
Practice Address - Street 1:539 ADAMS ST
Practice Address - Street 2:
Practice Address - City:MILTON
Practice Address - State:MA
Practice Address - Zip Code:02186-5621
Practice Address - Country:US
Practice Address - Phone:617-698-3636
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-14
Last Update Date:2013-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN1855941122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist