Provider Demographics
NPI:1902249295
Name:FREDERICK O HAINS AND ASSOCIATES
Entity Type:Organization
Organization Name:FREDERICK O HAINS AND ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:FREDERICK
Authorized Official - Middle Name:O
Authorized Official - Last Name:HAINS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:781-848-0292
Mailing Address - Street 1:44 ADAMS ST
Mailing Address - Street 2:
Mailing Address - City:BRAINTREE
Mailing Address - State:MA
Mailing Address - Zip Code:02184-1936
Mailing Address - Country:US
Mailing Address - Phone:781-848-0292
Mailing Address - Fax:
Practice Address - Street 1:44 ADAMS ST
Practice Address - Street 2:
Practice Address - City:BRAINTREE
Practice Address - State:MA
Practice Address - Zip Code:02184-1936
Practice Address - Country:US
Practice Address - Phone:781-848-0292
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-17
Last Update Date:2013-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA14907122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty