Peabody Dental Specialties Pllc | |
229 Andover St Peabody MA 01960-1539 | |
(508) 872-3072 | |
Not Available |
Full Name | Peabody Dental Specialties Pllc |
---|---|
Speciality | Dentist |
Location | 229 Andover St, Peabody, Massachusetts |
Authorized Official Name and Position | Joanne Tavano (CFO) |
Authorized Official Contact | 9785801524 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Peabody Dental Specialties Pllc 5 Mount Royal Ave Ste 300 Marlborough MA 01752-1900 Ph: (508) 872-3072 | Peabody Dental Specialties Pllc 229 Andover St Peabody MA 01960-1539 Ph: (508) 872-3072 |
NPI Number | 1528729076 |
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Provider Enumeration Date | 01/06/2022 |
Last Update Date | 01/06/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528729076 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Secondary |
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