Basic Information
Provider Information
NPI: 1043487556
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SACCHETTI
FirstName: FRANCINE
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: R.D.H.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 25 NEEDHAM ST
Address2:  
City: NEWTON
State: MA
PostalCode: 024611615
CountryCode: US
TelephoneNumber: 6179646681
FaxNumber: 6176300141
Practice Location
Address1: 607 LOUIS DR STE A
Address2:  
City: WARMINSTER
State: PA
PostalCode: 189742843
CountryCode: US
TelephoneNumber: 2156753005
FaxNumber: 2156753099
Other Information
ProviderEnumerationDate: 05/14/2008
LastUpdateDate: 05/14/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
124Q00000XDH009003LPAY Dental ProvidersDental Hygienist 

No ID Information.


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