Orthodontic Care Associates Pc | |
677 Lowell Street Peabody MA 01960-3531 | |
(978) 535-3135 | |
(978) 535-7750 |
Full Name | Orthodontic Care Associates Pc |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 677 Lowell Street, Peabody, Massachusetts |
Authorized Official Name and Position | Gregory David Gough (PRESIDENT) |
Authorized Official Contact | 9785353135 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Orthodontic Care Associates Pc 677 Lowell Street Peabody MA 01960-3531 Ph: (978) 535-3135 | Orthodontic Care Associates Pc 677 Lowell Street Peabody MA 01960-3531 Ph: (978) 535-3135 |
NPI Number | 1598786659 |
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Provider Enumeration Date | 07/22/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1598786659 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 15820 (Massachusetts) | Primary |
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