Provider Demographics
NPI:1427114586
Name:PRICE, ALBERT MERRILL (DMD)
Entity type:Individual
Prefix:DR
First Name:ALBERT
Middle Name:MERRILL
Last Name:PRICE
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 HEWINS ST
Mailing Address - Street 2:
Mailing Address - City:FALMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02540-2805
Mailing Address - Country:US
Mailing Address - Phone:508-540-0656
Mailing Address - Fax:
Practice Address - Street 1:20 HEWINS ST
Practice Address - Street 2:
Practice Address - City:FALMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02540-2805
Practice Address - Country:US
Practice Address - Phone:508-540-0656
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA116521223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA11652OtherSTATE DENTAL LICENSE