STONEHAM PEDIATRIC DENTAL ASSOCIATES PC NPI 1225574577

NPI Information

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:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.