Beverly Dental Group Llc | |
16 Enon St Beverly MA 01915-1116 | |
(617) 921-6292 | |
Not Available |
Full Name | Beverly Dental Group Llc |
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Speciality | Dentist |
Location | 16 Enon St, Beverly, Massachusetts |
Authorized Official Name and Position | Richard Miller (PRESIDENT) |
Authorized Official Contact | 6179216292 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Beverly Dental Group Llc 16 Enon St Beverly MA 01915-1116 Ph: (617) 921-6292 | Beverly Dental Group Llc 16 Enon St Beverly MA 01915-1116 Ph: (617) 921-6292 |
NPI Number | 1144678012 |
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Provider Enumeration Date | 06/01/2016 |
Last Update Date | 06/01/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144678012 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 20980 (Massachusetts) | Primary |
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