BAY STATE DENTAL SPECIALISTS PC NPI 1124135439

NPI Information

BAY STATE DENTAL SPECIALISTS PC is a periodontics dentist in Winchester, MA. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. BAY STATE DENTAL SPECIALISTS PC NPI is 1124135439. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10 CONVERSE PLACE
4TH FLOOR
WINCHESTER, MA
ZIP 01890
Phone: (781) 727-4644
Fax: (781) 729-0581

The provider's authorized official is Noha Anan Elkadry .
The authorized official title is President and has the following contact phone number (781) 729-4644.

The enumeration date for this NPI number is 8/23/2006 and was last updated on 8/29/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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