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MAYNARD DENTAL ASSOCIATES LLC NPI 1811273378


NPI Information

NPI: 1811273378
Provider Name: MAYNARD DENTAL ASSOCIATES, LLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
63 GREAT RD
SUITE 105
MAYNARD, MA
ZIP 01754
Phone: (978) 298-5281
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MAYNARD DENTAL ASSOCIATES, LLC is a dental clinic center in Maynard, MA. MAYNARD DENTAL ASSOCIATES, LLC NPI is 1811273378. The provider is registered as an organization entity type.

The provider's business location address is:

63 GREAT RD
SUITE 105
MAYNARD, MA
ZIP 01754-097
Phone: (978) 298-5281
Fax: (978) 298-5364

The provider's authorized official is Alexander J Moheban .
The authorized official title is Owner and has the following contact phone number (978) 298-5281.

The enumeration date for this NPI number is 10/28/2011 and was last updated on 10/28/2011.


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/CenterDentalDN1855167MASSACHUSETTSYes

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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