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ATHENA DENTAL GROUP PLLC NPI 1205474202


NPI Information

NPI: 1205474202
Provider Name: ATHENA DENTAL GROUP PLLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
318 MONTVALE AVE STE 100
WOBURN, MA
ZIP 01801
Phone: (857) 928-8197
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ATHENA DENTAL GROUP PLLC is a general practice dentist in Woburn, MA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. ATHENA DENTAL GROUP PLLC NPI is 1205474202. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

318 MONTVALE AVE STE 100
WOBURN, MA
ZIP 01801-648
Phone: (857) 928-8197

The provider's authorized official is Deepak Balani .
The authorized official title is Owner and has the following contact phone number (781) 999-1817.

The enumeration date for this NPI number is 12/20/2019 and was last updated on 12/20/2019.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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