| Perionorth, P.c. | |
|
56 Dodge St Beverly MA 01915-1786 | |
| (978) 966-7666 | |
| (978) 921-1714 |
| Full Name | Perionorth, P.c. |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 56 Dodge St, Beverly, Massachusetts |
| Authorized Official Name and Position | Douglas I Doben (PRESIDENT) |
| Authorized Official Contact | 9789227666 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Perionorth, P.c. 56 Dodge St Beverly MA 01915-1786 Ph: (978) 966-7666 | Perionorth, P.c. 56 Dodge St Beverly MA 01915-1786 Ph: (978) 966-7666 |
| NPI Number | 1396841854 |
|---|---|
| Provider Enumeration Date | 09/15/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396841854 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 11909 (Massachusetts) | Primary |
| 1223P0300X | Dentist - Periodontics | 20797 (Massachusetts) | Secondary |
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