Provider Demographics
NPI:1083635288
Name:J STEVEN TONELLI DMD & MARK G WEBSTER DDS PARTNERSHIP
Entity type:Organization
Organization Name:J STEVEN TONELLI DMD & MARK G WEBSTER DDS PARTNERSHIP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:J
Authorized Official - Middle Name:STEVEN
Authorized Official - Last Name:TONELLI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:978-664-3141
Mailing Address - Street 1:205 MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:NORTH READING
Mailing Address - State:MA
Mailing Address - Zip Code:01864-3104
Mailing Address - Country:US
Mailing Address - Phone:978-664-3141
Mailing Address - Fax:978-664-5078
Practice Address - Street 1:205 MAIN STREET
Practice Address - Street 2:
Practice Address - City:NORTH READING
Practice Address - State:MA
Practice Address - Zip Code:01864-3104
Practice Address - Country:US
Practice Address - Phone:978-664-3141
Practice Address - Fax:978-664-5078
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA146951223G0001X
MA178871223G0001X
MA183111223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty