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GREAT ROAD DENTAL ASSOCIATESP.C NPI 1548320179


NPI Information

NPI: 1548320179
Provider Name: GREAT ROAD DENTAL ASSOCIATES,P.C
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
296 GREAT RD
ACTON, MA
ZIP 01720
Phone: (978) 263-8525
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GREAT ROAD DENTAL ASSOCIATES,P.C is a general practice dentist in Acton, 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. GREAT ROAD DENTAL ASSOCIATES,P.C NPI is 1548320179. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

296 GREAT RD
ACTON, MA
ZIP 01720-710
Phone: (978) 263-8525
Fax: (978) 263-2955

The provider's authorized official is Kinan Kanbar .
The authorized official title is President and has the following contact phone number (978) 263-8525.

The enumeration date for this NPI number is 12/12/2006 and was last updated on 8/22/2020.


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
11223G0001XDentistGeneral Practice19336MASSACHUSETTSYes

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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