| Salem Dental Group Llc | |
|
393 Essex St Salem MA 01970-3156 | |
| (978) 744-5912 | |
| Not Available |
| Full Name | Salem Dental Group Llc |
|---|---|
| Speciality | Dentist |
| Location | 393 Essex St, Salem, Massachusetts |
| Authorized Official Name and Position | Richard T Miller (SOLE MEMBER) |
| Authorized Official Contact | 6179216292 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Salem Dental Group Llc 500 Chapman St Unit 201 Canton MA 02021-2040 Ph: () - | Salem Dental Group Llc 393 Essex St Salem MA 01970-3156 Ph: (978) 744-5912 |
| NPI Number | 1104361948 |
|---|---|
| Provider Enumeration Date | 01/04/2017 |
| Last Update Date | 01/04/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104361948 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN20980 (Massachusetts) | Primary |
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