Active NPIIndividual providerSole proprietor

Elizabeth B Mcgough

Dentist, Endodontics in Norwood, Massachusetts

NPI Number1053054916
Practice location
761 Washington St, Norwood, MA 02062-6612
Fax
—
Last updated
October 30, 2024

Elizabeth Blake Mcgough is a Dentist, Endodontics based in Norwood, MA. Elizabeth Blake Mcgough practices in Norwood, MA. The NPI Number for Elizabeth Blake Mcgough is 1053054916 and holds a License No. DN1859380 (MA). The current practice location address for Elizabeth Blake Mcgough is 761 Washington St, Norwood, MA 02062-6612 and can be reached out via phone at 781-762-8855.

Provider Profile Details

NPI Number
1053054916
Provider Name
Elizabeth Blake Mcgough
Provider Entity Type
Individual
Gender
Female
Address
761 Washington St, Norwood, MA 02062-6612
Phone Number
781-762-8855
Primary Taxonomy
Dentist, Endodontics · 1223E0200X
Sole Proprietor
Yes
Provider Enumeration Date
April 19, 2022
Last Update Date
October 30, 2024
Certification Date
October 30, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
761 Washington St
Norwood, MA 02062-6612
Zip
02062-6612
Phone Number
781-762-8855
Norwood, MA 02062Get directions →

Provider Business Mailing Address Details

Address
761 Washington St
Norwood, MA 02062-6612
City
Norwood
State
MA
Zip
02062-6612
Phone Number
781-762-8855

License Information

License Number (1)
DN1859380
License State (1)
MA
Taxonomy (1)
Dentist · 122300000X
License Number (2)
DN1859380
License State (2)
MA
Taxonomy (2)
Dentist, Endodontics · 1223E0200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Elizabeth B Mcgough?

The NPI number of Elizabeth B Mcgough is 1053054916. It was assigned on April 19, 2022 and is currently active in the NPPES registry.

What is the specialty of Elizabeth B Mcgough?

Elizabeth B Mcgough is registered under the primary taxonomy Dentist, Endodontics (code 1223E0200X), licensed in MA under license number DN1859380.

Where does Elizabeth B Mcgough practice?

The practice location is 761 Washington St, Norwood, MA 02062-6612. The office can be reached at 781-762-8855 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053054916 directly on the NPPES registry website.

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