Provider Demographics
NPI:1629094149
Name:SCIMONE, FRANCIS SALVATONE (DMD PC)
Entity Type:Individual
Prefix:DR
First Name:FRANCIS
Middle Name:SALVATONE
Last Name:SCIMONE
Suffix:
Gender:M
Credentials:DMD PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:872 MASSACHUSETTS AVE
Mailing Address - Street 2:SUITE 2-4
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02139
Mailing Address - Country:US
Mailing Address - Phone:617-868-7479
Mailing Address - Fax:617-868-6376
Practice Address - Street 1:872 MASSACHUSETTS AVE
Practice Address - Street 2:SUITE 2-4
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02139
Practice Address - Country:US
Practice Address - Phone:617-868-7479
Practice Address - Fax:617-868-6376
Is Sole Proprietor?:No
Enumeration Date:2006-07-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA98901223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice