Provider Demographics
NPI:1700203106
Name:VARINOS DENTAL ASSOCIATES OF WINTHROP
Entity Type:Organization
Organization Name:VARINOS DENTAL ASSOCIATES OF WINTHROP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RENEE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCKAIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-535-3800
Mailing Address - Street 1:185 HERMON ST
Mailing Address - Street 2:
Mailing Address - City:WINTHROP
Mailing Address - State:MA
Mailing Address - Zip Code:02152-3024
Mailing Address - Country:US
Mailing Address - Phone:617-846-1280
Mailing Address - Fax:
Practice Address - Street 1:185 HERMON ST
Practice Address - Street 2:
Practice Address - City:WINTHROP
Practice Address - State:MA
Practice Address - Zip Code:02152-3024
Practice Address - Country:US
Practice Address - Phone:617-846-1280
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FRANK T.VARINOS, D.M.D
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-03-24
Last Update Date:2014-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN16578261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental