Dr Dental
Dentist in Haverhill, MA. Organization (NPI-2).
NPI number1275904682
StatusActive
Last updated in NPPESOct 12, 2015
Details
- NPI
- 1275904682
- Entity type
- Organization (NPI-2)
- Legal business name
- Dr Dental
- Organization subpart
- No
- Enumeration date
- Oct 12, 2015
- Last updated
- Oct 12, 2015
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | DN1857078 | MA | Yes |
Other names
- Water Street Family Dental (Other Name)
Practice location
2 Water StHaverhill, MA 01830-6229
Phone 978-372-1999
Mailing address
2 Water StHaverhill, MA 01830-6229
Phone 978-372-1999
Authorized official
Alicia Lopez- Casado
Regional Manager
9783721999
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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