Provider Demographics
NPI:1740360270
Name:CAMMARATA, PAUL DENNIS (DMD)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:DENNIS
Last Name:CAMMARATA
Suffix:
Gender:M
Credentials:DMD
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Other - Credentials:
Mailing Address - Street 1:89 ACCESS RD
Mailing Address - Street 2:SUITE 26
Mailing Address - City:NORWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02062-5232
Mailing Address - Country:US
Mailing Address - Phone:781-255-1919
Mailing Address - Fax:781-255-8992
Practice Address - Street 1:89 ACCESS RD
Practice Address - Street 2:SUITE 26
Practice Address - City:NORWOOD
Practice Address - State:MA
Practice Address - Zip Code:02062-5232
Practice Address - Country:US
Practice Address - Phone:781-255-1919
Practice Address - Fax:781-255-8992
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA142191223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics