MEDICARE: HARRY P. TREON INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	18445	MA

General Provider Information

NPI Number	:	1073757050
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARRY P. TREON INC

Provider Business Mailing Address
First Line	:	4452 WASHINGTON ST
Second Line	:
City	:	ROSLINDALE
State	:	MA
Zip	:	02131-3440
Country	:	US
Telephone Number	:	617-323-6020
Fax Number	:	617-327-2977

Provider Business Practice Location Address
First Line	:	4452 WASHINGTON ST
Second Line	:
City	:	ROSLINDALE
State	:	MA
Zip	:	02131-3440
Country	:	US
Telephone Number	:	617-323-6020
Fax Number	:	617-327-2977

Authorized Official
Title or Position	:	OWNER
Name	:	DR. HARRY P TREON
Credential	:	D.M.D.
Telephone Number	:	617-323-6020

Provider Enumeration Date	:	04/22/2009
Last Update Date	:	04/22/2009

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