| Everett Dental Center | |
|
95 Main Str Suite 1 Everett MA 02149 | |
| (617) 387-2233 | |
| (617) 389-2233 |
| Full Name | Everett Dental Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 95 Main Str, Everett, Massachusetts |
| Authorized Official Name and Position | Lyudmila V Shnayder (PRESIDENT) |
| Authorized Official Contact | 6173872233 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Everett Dental Center 95 Main Street Suite 1 Everett MA 02149 Ph: (617) 387-2233 | Everett Dental Center 95 Main Str Suite 1 Everett MA 02149 Ph: (617) 387-2233 |
| NPI Number | 1518047760 |
|---|---|
| Provider Enumeration Date | 10/16/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518047760 | NPI | - | NPPES |
| 0204510 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 20091 (Massachusetts) | Primary |
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