Provider Demographics
NPI:1962653501
Name:NANCY H. STARR D.M.D. PC
Entity Type:Organization
Organization Name:NANCY H. STARR D.M.D. PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:STARR
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:781-878-1940
Mailing Address - Street 1:P.O. BOX 323
Mailing Address - Street 2:502 UNION ST.
Mailing Address - City:ROCKLAND
Mailing Address - State:MA
Mailing Address - Zip Code:02370
Mailing Address - Country:US
Mailing Address - Phone:781-878-1940
Mailing Address - Fax:781-878-1999
Practice Address - Street 1:502 UNION ST
Practice Address - Street 2:
Practice Address - City:ROCKLAND
Practice Address - State:MA
Practice Address - Zip Code:02370
Practice Address - Country:US
Practice Address - Phone:781-878-1940
Practice Address - Fax:781-878-1999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-01
Last Update Date:2008-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA15476122300000X
1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty
No1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty