Healthcare Provider Details

I. General information

NPI: 1528238177
Provider Name (Legal Business Name): STEVEN D GARLAND DMD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/10/2008
Last Update Date: 03/10/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

851 MAIN STREET SUITE 20
SOUTH WEYMOUTH MA
02190
US

IV. Provider business mailing address

851 MAIN STREET SUITE 20
SOUTH WEYMOUTH MA
02190
US

V. Phone/Fax

Practice location:
  • Phone: 781-331-2422
  • Fax: 781-331-2780
Mailing address:
  • Phone: 781-331-2422
  • Fax: 781-331-2780

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number11866
License Number StateMA

VIII. Authorized Official

Name: MR. STEVEN D GARLAND
Title or Position: OWNER DOCTOR
Credential: DMD
Phone: 781-331-2422