STONEHAM PEDIATRIC DENTAL ASSOCIATES PC NPI 1225574577

NPI Information

  • NPI: 1225574577
  • Provider Name: STONEHAM PEDIATRIC DENTAL ASSOCIATES, PC
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Organization
  • Doing Business As: DR. MICKEY'S PEDIATRIC AND ORTHODONTIC SPECIALISTS
  • Address: 67 MONTVALE AVE
    SUITE 101
    STONEHAM, MA
    ZIP 02180
  • Phone: (781) 279-2400

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NPI Details

STONEHAM PEDIATRIC DENTAL ASSOCIATES, PC is a pediatric dentistry dentist in Stoneham, MA. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. STONEHAM PEDIATRIC DENTAL ASSOCIATES, PC NPI is 1225574577. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Dr. Mickey's Pediatric And Orthodontic Specialists.

The provider's business location address is:

67 MONTVALE AVE
SUITE 101
STONEHAM, MA
ZIP 02180-618
Phone: (781) 279-2400
Fax: (781) 279-4640

The provider's authorized official is Pushpak Patel .
The authorized official title is President and has the following contact phone number (857) 919-2273.

The enumeration date for this NPI number is 1/10/2017 and was last updated on 1/10/2017.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1122300000XDentistDN1855141MASSACHUSETTSNo
21223P0221XDentistPediatric DentistryDN1855141MASSACHUSETTSYes
3124Q00000XDental HygienistDN1855141MASSACHUSETTSNo

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: 11/21/2025

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