North Shore Smiles LLC
Dentist, General Practice in Swampscott, MA. Organization (NPI-2).
NPI number1164077152
StatusActive
Last updated in NPPESAug 6, 2019
Details
- NPI
- 1164077152
- Entity type
- Organization (NPI-2)
- Legal business name
- North Shore Smiles LLC
- Organization subpart
- No
- Enumeration date
- Aug 6, 2019
- Last updated
- Aug 6, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
| 1223P0300X | Dentist, Periodontics | – | – |
Practice location
293 Humphrey Str.Swampscott, MA 01907
Phone 781-599-8300 · Fax 781-593-5440
Mailing address
293 Humphrey Str.Swampscott, MA 01907
Phone 781-599-8300 · Fax 781-593-5440
Authorized official
Gregory J. Feider
Owner
7815998300
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