Caravolas, John James

Caravolas, John James is an individual health care provider with primary practice located at 20 Hope Ave Suite 306, Waltham MA 02453. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Caravolas, John James can be contacted via phone (781) 647-0804.

Contact Information

Primary practice address
20 Hope Ave Suite 306 Waltham MA 02453
Phone: (781) 647-0804
Fax: (781) 647-6730
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 14429 Massachusetts

Profile Details

NPI number 1538250659
LBN Legal business name Caravolas, John James
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2006
Last updated Jul 8th, 2007 - about 18 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 1538250659 NPPES
Massachusetts MEDICAID 0257524

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