| Ismile Dental Associates | |
|
210 Andover St North Shore Mall Peabody MA 01960-1647 | |
| (978) 532-5550 | |
| (978) 532-8078 |
| Full Name | Ismile Dental Associates |
|---|---|
| Speciality | Dentist |
| Location | 210 Andover St, Peabody, Massachusetts |
| Authorized Official Name and Position | Julie A Ward (OFFICE ADMINISTRATOR) |
| Authorized Official Contact | 9785325550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ismile Dental Associates 210 Andover St North Shore Mall Peabody MA 01960-1647 Ph: (978) 532-5550 | Ismile Dental Associates 210 Andover St North Shore Mall Peabody MA 01960-1647 Ph: (978) 532-5550 |
| NPI Number | 1083758908 |
|---|---|
| Provider Enumeration Date | 02/16/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083758908 | NPI | - | NPPES |
| X12306 | Other | MA | BLUE CROSS PROVIDER ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 17278 (Massachusetts) | Primary |
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