Provider Demographics
NPI:1104086511
Name:KREFTING, JANET (DMD)
Entity type:Individual
Prefix:DR
First Name:JANET
Middle Name:
Last Name:KREFTING
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:330 BOSTON RD
Mailing Address - Street 2:
Mailing Address - City:N BILLERICA
Mailing Address - State:MA
Mailing Address - Zip Code:01862-2300
Mailing Address - Country:US
Mailing Address - Phone:978-663-7638
Mailing Address - Fax:978-667-9856
Practice Address - Street 1:330 BOSTON RD
Practice Address - Street 2:
Practice Address - City:N BILLERICA
Practice Address - State:MA
Practice Address - Zip Code:01862-2300
Practice Address - Country:US
Practice Address - Phone:978-663-7638
Practice Address - Fax:978-667-9856
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-10
Last Update Date:2010-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA140031223D0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223D0001XDental ProvidersDentistDental Public Health