| Highland Dental Group | |
|
100 Highland Ave Suite 103 Salem MA 01970-2702 | |
| (978) 740-5135 | |
| (978) 740-5105 |
| Full Name | Highland Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 100 Highland Ave, Salem, Massachusetts |
| Authorized Official Name and Position | Kevin M Kelaher (PRESIDENT) |
| Authorized Official Contact | 9787405135 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Highland Dental Group 100 Highland Ave Suite 103 Salem MA 01970-2702 Ph: (978) 740-5135 | Highland Dental Group 100 Highland Ave Suite 103 Salem MA 01970-2702 Ph: (978) 740-5135 |
| NPI Number | 1760531388 |
|---|---|
| Provider Enumeration Date | 01/10/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760531388 | NPI | - | NPPES |
| 967167 | Other | MA | UNITED CONCORDIA INS. CO. |
| X11034 | Other | MA | BLUECROSS BLUESHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12361 (Massachusetts) | Primary |
Highland Dental Group Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Highland Ave, Suite 103, Salem, MA 01970 Phone: 978-740-5135 Fax: 978-740-5105 | |
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