Provider Type Icon

ANDALUNA DENTAL NPI 1437539111


NPI Information

NPI: 1437539111
Provider Name: ANDALUNA DENTAL
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
578 MAIN ST
MALDEN, MA
ZIP 02148
Phone: (781) 324-6100
Get Directions

ANDALUNA DENTAL is a dental clinic center in Malden, MA. ANDALUNA DENTAL NPI is 1437539111. The provider is registered as an organization entity type.

The provider's business location address is:

578 MAIN ST
MALDEN, MA
ZIP 02148-900
Phone: (781) 324-6100
Fax: (781) 321-3544

The provider's authorized official is Leonid Spivak .
The authorized official title is Dr and has the following contact phone number (781) 324-6100.

The enumeration date for this NPI number is 6/8/2015 and was last updated on 6/8/2015.


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
1261QD0000XClinic/CenterDental19332MASSACHUSETTSYes

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

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.