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Contact Information

JOHN R KASHMANIAN, DMD
55 EVERETT STREET
SOUTHBRIDGE, MA01550
 Phone: 508-765-0099
 Fax: 508-765-0091
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oral & Maxillofacial Surgery

204E00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for JOHN R KASHMANIAN · (Male)

NPI Number 1538129978
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 03/27/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • CT License # 007615
  • MA License # 0016765
  • MA Medicaid 0273147
  • Other 368390 CIGNA
  • Other 12207 FALLON COMMUNITY HEALTH P
  • Other 16531 HARVARD PILGRIM HEALTHCAR
  • Other 754041 TUFTS HEALTH PLAN
  • Other 792734 UNITED CONCORDIA
  • MA Other X06293 BCBS MEDICAL AND DENTAL
  • MA Other 682 DELTA DENTAL MA
  • MA Other 983782 NETWORK HEALTH
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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