| North Shore Advanced Cosmetic & Family Dentistry Pc | |
|
One Roosevelt Ave Suite 203 Peabody MA 01960 | |
| (978) 536-0212 | |
| Not Available |
| Full Name | North Shore Advanced Cosmetic & Family Dentistry Pc |
|---|---|
| Speciality | Dentist |
| Location | One Roosevelt Ave, Peabody, Massachusetts |
| Authorized Official Name and Position | Richard Lafauci (OWNER) |
| Authorized Official Contact | 9785360212 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Shore Advanced Cosmetic & Family Dentistry Pc One Roosevelt Ave Suite 203 Peabody MA 01960 Ph: (978) 536-0212 | North Shore Advanced Cosmetic & Family Dentistry Pc One Roosevelt Ave Suite 203 Peabody MA 01960 Ph: (978) 536-0212 |
| NPI Number | 1326268699 |
|---|---|
| Provider Enumeration Date | 04/27/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326268699 | NPI | - | NPPES |
| X11801 | Other | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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