Provider Demographics
NPI:1831301944
Name:GRACIA AND ASSOCIATES, P.C.
Entity Type:Organization
Organization Name:GRACIA AND ASSOCIATES, P.C.
Other - Org Name:ADVANCED DENTAL CARE OF NORTON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:KRATT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-285-8301
Mailing Address - Street 1:100 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NORTON
Mailing Address - State:MA
Mailing Address - Zip Code:02766-2713
Mailing Address - Country:US
Mailing Address - Phone:508-285-8301
Mailing Address - Fax:508-285-6014
Practice Address - Street 1:100 W MAIN ST
Practice Address - Street 2:
Practice Address - City:NORTON
Practice Address - State:MA
Practice Address - Zip Code:02766-2713
Practice Address - Country:US
Practice Address - Phone:508-285-8301
Practice Address - Fax:508-285-6014
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA187401223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0700XDental ProvidersDentistProsthodonticsGroup - Multi-Specialty