Beverly Dentistry And Braces Pc
LBN: Beverly Dentistry And Braces Pc
Beverly Dentistry And Braces Pc is an health care organization with primary practice located at 55 Dodge St Ste A-190 , Beverly MA 01915-1705. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / General Practice is the primary health care specialty.
Beverly Dentistry And Braces Pc can be contacted via phone (508) 872-3072, or through Tavano, Joanne via phone (978) 580-1524.
Contact Information
Primary practice address
55 Dodge St Ste A-190
Beverly MA 01915-1705
Phone: (508) 872-3072
Fax: (508) 872-0781
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | ||
Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X |
Profile Details
NPI number | 1407446941 |
---|---|
LBN Legal business name | Beverly Dentistry And Braces Pc |
DBA Doing business as | |
Authorized official | Tavano, Joanne |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jan 19th, 2021 |
Last updated | Jan 19th, 2021 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1407446941 | NPPES |
Massachusetts | MEDICAID | 110078301A |
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