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MDSA LLC NPI 1871839530


NPI Information

NPI: 1871839530
Provider Name: MDSA LLC
Classification: Dentist - 1223P0300X
Entity Type: Organization

Specialization: Periodontics

Address:
380 MERRIMACK ST
SUITE 3A
METHUEN, MA
ZIP 01844
Phone: (978) 685-2471
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MDSA LLC is a periodontics dentist in Methuen, MA. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. MDSA LLC NPI is 1871839530. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

380 MERRIMACK ST
SUITE 3A
METHUEN, MA
ZIP 01844-870
Phone: (978) 685-2471
Fax: (978) 683-3985

The provider's authorized official is Gary H Wainwright .
The authorized official title is Member and has the following contact phone number (978) 685-2471.

The enumeration date for this NPI number is 12/27/2012 and was last updated on 12/27/2012.


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
11223E0200XDentistEndodonticsDN16836MASSACHUSETTSNo
21223X0400XDentistOrthodontics and Dentofacial Orthopedics16114MASSACHUSETTSNo
31223P0300XDentistPeriodonticsDN20469MASSACHUSETTSYes

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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