Provider Demographics
NPI:1710564620
Name:SHIRE CITY ENDO
Entity Type:Organization
Organization Name:SHIRE CITY ENDO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ENDODONTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTINELLI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:413-551-8066
Mailing Address - Street 1:2 HOLMES RD
Mailing Address - Street 2:
Mailing Address - City:LENOX
Mailing Address - State:MA
Mailing Address - Zip Code:01240-2176
Mailing Address - Country:US
Mailing Address - Phone:413-551-8066
Mailing Address - Fax:413-551-8067
Practice Address - Street 1:2 HOLMES RD
Practice Address - Street 2:
Practice Address - City:LENOX
Practice Address - State:MA
Practice Address - Zip Code:01240-2176
Practice Address - Country:US
Practice Address - Phone:413-551-8066
Practice Address - Fax:413-551-8067
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-26
Last Update Date:2021-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty