Healthcare Provider Details

I. General information

NPI: 1962653501
Provider Name (Legal Business Name): NANCY H. STARR D.M.D. PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2008
Last Update Date: 10/01/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

502 UNION ST
ROCKLAND MA
02370
US

IV. Provider business mailing address

P.O. BOX 323 502 UNION ST.
ROCKLAND MA
02370
US

V. Phone/Fax

Practice location:
  • Phone: 781-878-1940
  • Fax: 781-878-1999
Mailing address:
  • Phone: 781-878-1940
  • Fax: 781-878-1999

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number15476
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: MRS. NANCY STARR
Title or Position: DENTIST
Credential: D.M.D.
Phone: 781-878-1940