ADVANCED ENDODONTIC ASSOCIATES PC NPI 1477709640

NPI Information

  • NPI: 1477709640
  • Provider Name: ADVANCED ENDODONTIC ASSOCIATES, PC
  • Classification: Dentist - 1223E0200X
  • Specialization: Endodontics
  • Entity Type: Organization
  • Address: 39 CROSS ST STE 304
    PEABODY, MA
    ZIP 01960
  • Phone: (978) 531-3400

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NPI Details

ADVANCED ENDODONTIC ASSOCIATES, PC is an endodontics dentist in Peabody, MA. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. ADVANCED ENDODONTIC ASSOCIATES, PC NPI is 1477709640. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

39 CROSS ST STE 304
PEABODY, MA
ZIP 01960-666
Phone: (978) 531-3400
Fax: (978) 531-3415

The provider's authorized official is Mark G Wang .
The authorized official title is President and has the following contact phone number (978) 531-3400.

The enumeration date for this NPI number is 8/7/2008 and was last updated on 8/7/2008.

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
11223E0200XDentistEndodontics20514MASSACHUSETTSYes

What is NPI?

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This page was last updated on: 3/30/2025

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