Provider Demographics
NPI:1184953564
Name:WILLIAM J. FIORE, DMD, P.C.
Entity type:Organization
Organization Name:WILLIAM J. FIORE, DMD, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:J
Authorized Official - Last Name:FIORE
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:781-245-5366
Mailing Address - Street 1:39 YALE AVE
Mailing Address - Street 2:
Mailing Address - City:WAKEFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01880-2308
Mailing Address - Country:US
Mailing Address - Phone:781-245-5366
Mailing Address - Fax:781-245-5383
Practice Address - Street 1:39 YALE AVE
Practice Address - Street 2:
Practice Address - City:WAKEFIELD
Practice Address - State:MA
Practice Address - Zip Code:01880-2308
Practice Address - Country:US
Practice Address - Phone:781-245-5366
Practice Address - Fax:781-245-5383
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-15
Last Update Date:2009-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN18552291223G0001X
MA133121223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0700XDental ProvidersDentistProsthodonticsGroup - Multi-Specialty
No1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty