Branch Street Dental
Dentist in Methuen, MA. Organization (NPI-2).
NPI number1649868340
StatusActive
Last updated in NPPESJan 7, 2021
Details
- NPI
- 1649868340
- Entity type
- Organization (NPI-2)
- Legal business name
- Branch Street Dental
- Organization subpart
- No
- Enumeration date
- Jan 7, 2021
- Certification date
- Jan 7, 2021
- Last updated
- Jan 7, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | – | – | Yes |
Practice location
13 Branch St Ste 212Methuen, MA 01844-1900
Phone 978-377-1770
Mailing address
13 Branch St Ste 212Methuen, MA 01844-1900
Phone 978-377-1770
Authorized official
Melissa Hammond
Insurance Coordinator
9783771770
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