Roque, Miguel A
Roque, Miguel A is an individual health care provider with primary practice located at 1087 Beacon St Ste 104 , Newton Centre MA 02459-1700. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Endodontics. Dental Providers / Endodontics is his primary health care specialty. Roque, Miguel A can be contacted via phone (617) 410-8595.Contact Information
Primary practice address
1087 Beacon St Ste 104
Newton Centre MA 02459-1700
Phone: (617) 410-8595
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DN1857248 | Massachusetts |
| Dental Providers / Endodontics | 1223E0200X | DN1857248 | Massachusetts |
Profile Details
| NPI number | 1275982936 |
|---|---|
| LBN Legal business name | Roque, Miguel A |
| Credentials | DMD, MMSC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 3rd, 2016 |
| Last updated | Jul 10th, 2023 - about last year |
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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