Healthcare Provider Details

I. General information

NPI: 1356001663
Provider Name (Legal Business Name): YUNES & DIMATTEO DENTISTRY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/28/2021
Last Update Date: 12/28/2021
Certification Date: 12/27/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

282 WASHINGTON ST STE 3
NORTH EASTON MA
02356-1146
US

IV. Provider business mailing address

282 WASHINGTON ST STE 3
NORTH EASTON MA
02356-1146
US

V. Phone/Fax

Practice location:
  • Phone: 508-238-1041
  • Fax: 508-238-8030
Mailing address:
  • Phone: 508-238-1041
  • Fax: 508-238-8030

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CYNTHIA L BARTLETT
Title or Position: OFFICE MANAGER
Credential:
Phone: 508-238-1041