Provider Demographics
NPI:1902472020
Name:JOSEPH DESCHENE DMD LLC
Entity Type:Organization
Organization Name:JOSEPH DESCHENE DMD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:DESCHENE
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:774-644-3043
Mailing Address - Street 1:PO BOX 27
Mailing Address - Street 2:
Mailing Address - City:WHATELY
Mailing Address - State:MA
Mailing Address - Zip Code:01093-0027
Mailing Address - Country:US
Mailing Address - Phone:774-644-3043
Mailing Address - Fax:
Practice Address - Street 1:2 MAIN ST
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:MA
Practice Address - Zip Code:01062-3102
Practice Address - Country:US
Practice Address - Phone:774-644-3043
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-29
Last Update Date:2021-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty