Active NPIOrganization

Kindred Smiles Pediatric Dentistry LLC

Dentist, Pediatric Dentistry in Groton, Massachusetts

NPI Number1104226539
Practice location
300 Main St, Groton, MA 01450-1379
Fax
—
Last updated
September 4, 2014

Kindred Smiles Pediatric Dentistry LLC is a healthcare organization based in Groton, MA. Kindred Smiles Pediatric Dentistry LLC practices in Groton, MA. The NPI Number for Kindred Smiles Pediatric Dentistry LLC is 1104226539. The current practice location address for Kindred Smiles Pediatric Dentistry LLC is 300 Main St, Groton, MA 01450-1379 and can be reached out via phone at 978-448-8400.

Provider Profile Details

NPI Number
1104226539
Provider Name
Kindred Smiles Pediatric Dentistry LLC
Provider Entity Type
Organization
Address
300 Main St, Groton, MA 01450-1379
Phone Number
978-448-8400
Primary Taxonomy
Dentist, Pediatric Dentistry · 1223P0221X
Organization Subpart
No
Authorized Official
Jay M. Decoteau, DMD · Owner · 978-448-8400
Provider Enumeration Date
September 4, 2014
Last Update Date
September 4, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
300 Main St
Groton, MA 01450-1379
City
Groton
Zip
01450-1379
Phone Number
978-448-8400
Groton, MA 01450Get directions →

Provider Business Mailing Address Details

Address
300 Main St
Groton, MA 01450-1379
City
Groton
State
MA
Zip
01450-1379
Phone Number
978-448-8400

License Information

Taxonomy
Dentist, Pediatric Dentistry · 1223P0221X · 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 Kindred Smiles Pediatric Dentistry LLC?

The NPI number of Kindred Smiles Pediatric Dentistry LLC is 1104226539. It was assigned on September 4, 2014 and is currently active in the NPPES registry.

What is the specialty of Kindred Smiles Pediatric Dentistry LLC?

Kindred Smiles Pediatric Dentistry LLC is registered under the primary taxonomy Dentist, Pediatric Dentistry (code 1223P0221X).

Where does Kindred Smiles Pediatric Dentistry LLC practice?

The practice location is 300 Main St, Groton, MA 01450-1379. The office can be reached at 978-448-8400 (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 1104226539 directly on the NPPES registry website.

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