Provider Demographics
NPI:1730148842
Name:SEXTON, JOHN J (DMD,MSD,)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:J
Last Name:SEXTON
Suffix:
Gender:M
Credentials:DMD,MSD,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:372 WASHINGTON ST
Mailing Address - Street 2:SUITE 2500
Mailing Address - City:WELLESLEY
Mailing Address - State:MA
Mailing Address - Zip Code:02481-6202
Mailing Address - Country:US
Mailing Address - Phone:781-235-4554
Mailing Address - Fax:781-237-2947
Practice Address - Street 1:372 WASHINGTON ST
Practice Address - Street 2:SUITE 2500
Practice Address - City:WELLESLEY
Practice Address - State:MA
Practice Address - Zip Code:02481-6202
Practice Address - Country:US
Practice Address - Phone:781-235-4554
Practice Address - Fax:781-237-2947
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA129141223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery