Active NPIOrganization

Salem Dental Group LLC

Dentist in Salem, Massachusetts

NPI Number1104361948
Practice location
393 Essex St, Salem, MA 01970-3156
Fax
—
Last updated
January 4, 2017

Salem Dental Group LLC is a healthcare organization based in Salem, MA. Salem Dental Group LLC practices in Salem, MA. The NPI Number for Salem Dental Group LLC is 1104361948 and holds a License No. DN20980 (MA). The current practice location address for Salem Dental Group LLC is 393 Essex St, Salem, MA 01970-3156 and can be reached out via phone at 978-744-5912.

Provider Profile Details

NPI Number
1104361948
Provider Name
Salem Dental Group LLC
Provider Entity Type
Organization
Address
393 Essex St, Salem, MA 01970-3156
Phone Number
978-744-5912
Primary Taxonomy
Dentist · 122300000X
Organization Subpart
No
Authorized Official
Richard T Miller · Sole Member · 617-921-6292
Provider Enumeration Date
January 4, 2017
Last Update Date
January 4, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
393 Essex St
Salem, MA 01970-3156
City
Salem
Zip
01970-3156
Phone Number
978-744-5912
Salem, MA 01970Get directions →

Provider Business Mailing Address Details

Address
500 Chapman St Unit 201
Canton, MA 02021-2040
City
Canton
State
MA
Zip
02021-2040

License Information

License Number
DN20980
License State
MA
Taxonomy
Dentist · 122300000X · 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 Salem Dental Group LLC?

The NPI number of Salem Dental Group LLC is 1104361948. It was assigned on January 4, 2017 and is currently active in the NPPES registry.

What is the specialty of Salem Dental Group LLC?

Salem Dental Group LLC is registered under the primary taxonomy Dentist (code 122300000X), licensed in MA under license number DN20980.

Where does Salem Dental Group LLC practice?

The practice location is 393 Essex St, Salem, MA 01970-3156. The office can be reached at 978-744-5912 (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 1104361948 directly on the NPPES registry website.

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