Regas, Peter John

Regas, Peter John is an sole proprietor health care provider with primary practice located at 69 Main St. , Lakeville MA 02347-1618. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Regas, Peter John can be contacted via phone (508) 947-7400.

Contact Information

Primary practice address
69 Main St. Lakeville MA 02347-1618
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 12909 Massachusetts

Profile Details

NPI number 1144329814
LBN Legal business name Regas, Peter John
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 21st, 2006
Last updated Jul 9th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144329814 NPPES
Massachusetts Other XO4903RE BLUE CROSS/BLUE SHIELD
Massachusetts MEDICAID 0249114 BLUE CROSS/BLUE SHIELD

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