| Simply Orthodontics And Pediatrics Fitchburg Pllc | |
|
50 Whalon St Ste 1 Fitchburg MA 01420 | |
| (508) 589-8270 | |
| Not Available |
| Full Name | Simply Orthodontics And Pediatrics Fitchburg Pllc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 50 Whalon St Ste 1, Fitchburg, Massachusetts |
| Authorized Official Name and Position | Houssam Alkhoury (OWNER) |
| Authorized Official Contact | 5085898270 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Simply Orthodontics And Pediatrics Fitchburg Pllc 87 Elm St Ste 302 Hopkinton MA 01748-1638 Ph: (508) 589-8270 | Simply Orthodontics And Pediatrics Fitchburg Pllc 50 Whalon St Ste 1 Fitchburg MA 01420 Ph: (508) 589-8270 |
| NPI Number | 1932615499 |
|---|---|
| Provider Enumeration Date | 12/20/2017 |
| Last Update Date | 12/20/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932615499 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Secondary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | DN20511 (Massachusetts) | Primary |
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