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MERRIMACK VALLEY COSMETIC DENTISTRY LLC NPI 1417292269


NPI Information

NPI: 1417292269
Provider Name: MERRIMACK VALLEY COSMETIC DENTISTRY, LLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
565 TURNPIKE ST
63A
NORTH ANDOVER, MA
ZIP 01845
Phone: (978) 683-8855
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MERRIMACK VALLEY COSMETIC DENTISTRY, LLC is a general practice dentist in North Andover, 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. MERRIMACK VALLEY COSMETIC DENTISTRY, LLC NPI is 1417292269. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

565 TURNPIKE ST
63A
NORTH ANDOVER, MA
ZIP 01845-922
Phone: (978) 683-8855
Fax: (978) 738-9687

The provider's authorized official is David Nicholas Bardwell .
The authorized official title is Sole Trustee and has the following contact phone number (978) 683-8855.

The enumeration date for this NPI number is 12/5/2012 and was last updated on 3/7/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1122300000XDentist16194MASSACHUSETTSNo
21223G0001XDentistGeneral Practice16194MASSACHUSETTSYes

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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