| Pleasant Valley Dental Health, Pc | |
|
380 Merrimack St Suite 3e Methuen MA 01844-5870 | |
| (978) 685-2511 | |
| (978) 683-3985 |
| Full Name | Pleasant Valley Dental Health, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 380 Merrimack St, Methuen, Massachusetts |
| Authorized Official Name and Position | Gary Henry Wainwright (PRESIDENT) |
| Authorized Official Contact | 9786852511 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pleasant Valley Dental Health, Pc 380 Merrimack St Suite 3e Methuen MA 01844-5870 Ph: (978) 685-2511 | Pleasant Valley Dental Health, Pc 380 Merrimack St Suite 3e Methuen MA 01844-5870 Ph: (978) 685-2511 |
| NPI Number | 1164433215 |
|---|---|
| Provider Enumeration Date | 08/11/2006 |
| Last Update Date | 04/06/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164433215 | NPI | - | NPPES |
| 0200671 | Medicaid | MA | |
| 9783547 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 14747 (Massachusetts) | Primary |
| 1223G0001X | Dentist - General Practice | 19703 (Massachusetts) | Secondary |
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