Pelletier, Michael Robert

Pelletier, Michael Robert is an individual health care provider with primary practice located at 164 Elm St , Fitchburg MA 01420-3135. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Pelletier, Michael Robert can be contacted via phone (978) 345-5563.

Contact Information

Primary practice address
164 Elm St Fitchburg MA 01420-3135
Fax: (978) 345-5563
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 13636 Massachusetts

Profile Details

NPI number 1760494207
LBN Legal business name Pelletier, Michael Robert
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2006
Last updated Jul 8th, 2007 - 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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