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DUXBURY CHILDRENS DENTISTRY LLC NPI 1922013572


NPI Information

NPI: 1922013572
Provider Name: DUXBURY CHILDRENS DENTISTRY LLC
Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

CLIA Number: 22D2218777

Address:
95 TREMONT STREET
SUITE 18
DUXBURY, MA
ZIP 02332
Phone: (781) 934-7111
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DUXBURY CHILDRENS DENTISTRY LLC is a pediatric dentistry dentist in Duxbury, MA. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. DUXBURY CHILDRENS DENTISTRY LLC NPI is 1922013572. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

95 TREMONT STREET
SUITE 18
DUXBURY, MA
ZIP 02332
Phone: (781) 934-7111
Fax: (781) 934-7125

The provider's authorized official is Joy Marie John .
The authorized official title is Owner Dentist and has the following contact phone number (781) 934-7111.

The CLIA number assigned to this NPI record is 22D2218777 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/30/2006 and was last updated on 5/16/2014.


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
11223P0221XDentistPediatric Dentistry20495MASSACHUSETTSYes

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: 5/5/2024

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