Healthcare Provider Details

I. General information

NPI: 1467422196
Provider Name (Legal Business Name): MARINA PINKAS DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/25/2006
Last Update Date: 10/31/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 NORTH MAIN STREET
SHARON MA
02067-1172
US

IV. Provider business mailing address

450 NORTH MAIN STREET
SHARON MA
02067-1172
US

V. Phone/Fax

Practice location:
  • Phone: 781-784-4888
  • Fax: 781-784-5522
Mailing address:
  • Phone: 781-784-4888
  • Fax: 781-784-5522

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number20803
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: