Mamolito, Philip F

Mamolito, Philip F is an individual health care provider with primary practice located at 114 Wendell Ave Suite 1, Pittsfield MA 01201-6976. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Mamolito, Philip F can be contacted via phone (413) 442-8684.

Contact Information

Primary practice address
114 Wendell Ave Suite 1 Pittsfield MA 01201-6976
Fax: (413) 443-3275
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 12851 Massachusetts

Profile Details

NPI number 1669435665
LBN Legal business name Mamolito, Philip F
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2006
Last updated Oct 20th, 2008 - about 17 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 1669435665 NPPES
Massachusetts Other 593804 BCBS
Massachusetts Other 593804 BCBS

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