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LITTLETON FAMILY DENTISTRY NPI 1861500100


NPI Information

NPI: 1861500100
Provider Name: LITTLETON FAMILY DENTISTRY
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

CLIA Number: 22D2027535

Address:
336 KING ST
LITTLETON, MA
ZIP 01460
Phone: (978) 486-4226
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LITTLETON FAMILY DENTISTRY is a general practice dentist in Littleton, 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. LITTLETON FAMILY DENTISTRY NPI is 1861500100. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

336 KING ST
LITTLETON, MA
ZIP 01460-253
Phone: (978) 486-4226

The provider's authorized official is Craig C Gruskowski .
The authorized official title is Dentist Owner and has the following contact phone number (978) 486-4226.

The CLIA number assigned to this NPI record is 22D2027535 - other - group home with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/28/2006 and was last updated on 6/16/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice16874MASSACHUSETTSYes

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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