Avita Dental Associates PLLC
Dentist, General Practice in Mashpee, MA. Organization (NPI-2).
NPI number1376440602
StatusActive
Last updated in NPPESOct 21, 2026
Details
- NPI
- 1376440602
- Entity type
- Organization (NPI-2)
- Legal business name
- Avita Dental Associates PLLC
- Organization subpart
- No
- Enumeration date
- Oct 21, 2026
- Certification date
- Oct 21, 2026
- Last updated
- Oct 21, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Practice location
96 Old Barnstable RdMashpee, MA 02649-3296
Phone 508-477-0070
Mailing address
15 Artisan Dr Unit 647Salem, NH 03079-5026
Phone 508-759-2724
Authorized official
Nicholas Theodore Papapetros
President
9788862678
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