MEDICARE: HINGHAM DENTISTRY, P.C.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	1223E0200X	Endodontics
2	1223P0300X	Periodontics
3	1223P0700X	Prosthodontics

General Provider Information

NPI Number	:	1154519353
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HINGHAM DENTISTRY, P.C.

Provider Business Mailing Address
First Line	:	169 LINCOLN ST
Second Line	:	SUITE 101
City	:	HINGHAM
State	:	MA
Zip	:	02043-4640
Country	:	US
Telephone Number	:	781-740-0100
Fax Number	:	781-740-4590

Provider Business Practice Location Address
First Line	:	169 LINCOLN ST
Second Line	:	SUITE 101
City	:	HINGHAM
State	:	MA
Zip	:	02043-4640
Country	:	US
Telephone Number	:	781-740-0100
Fax Number	:	781-740-4590

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. VIRGINIA SHAHINIAN
Credential	:	D.M.D.
Telephone Number	:	781-740-0100

Provider Enumeration Date	:	10/12/2007
Last Update Date	:	10/12/2007

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Directions to “HINGHAM DENTISTRY, P.C. ” Practice Location

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