Provider Demographics
NPI:1972719672
Name:CAPE COD RESTORITIVE & COSMETIC DENTISTRY
Entity type:Organization
Organization Name:CAPE COD RESTORITIVE & COSMETIC DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:IRWIN
Authorized Official - Last Name:ORENSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:508-362-8188
Mailing Address - Street 1:ROUTE 6A
Mailing Address - Street 2:SUNFLOWER MARKETPLACE
Mailing Address - City:YARMOUTHPORT
Mailing Address - State:MA
Mailing Address - Zip Code:02675
Mailing Address - Country:US
Mailing Address - Phone:508-362-8188
Mailing Address - Fax:508-362-8217
Practice Address - Street 1:ROUTE 6A
Practice Address - Street 2:SUNFLOWER MARKETPLACE
Practice Address - City:YARMOUTHPORT
Practice Address - State:MA
Practice Address - Zip Code:02675
Practice Address - Country:US
Practice Address - Phone:508-362-8188
Practice Address - Fax:508-362-8217
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA13108122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty