Active NPIIndividual provider

Dr. Matthew L Bagnall, DMD

Dentist, General Practice in Andover, Massachusetts

NPI Number1205109436
Practice location
16 Haverhill St, Andover, MA 01810-3002
Fax
—
Last updated
June 25, 2014

Matthew Lee Bagnall is a Dentist, General Practice based in Andover, MA. Matthew Lee Bagnall practices in Andover, MA and has the professional credentials of DMD. The NPI Number for Matthew Lee Bagnall is 1205109436 and holds a License No. DN1856571 (MA). The current practice location address for Matthew Lee Bagnall is 16 Haverhill St, Andover, MA 01810-3002 and can be reached out via phone at 978-475-3997.

Provider Profile Details

NPI Number
1205109436
Provider Name
Matthew Lee Bagnall
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
16 Haverhill St, Andover, MA 01810-3002
Phone Number
978-475-3997
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
February 19, 2012
Last Update Date
June 25, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
16 Haverhill St
Andover, MA 01810-3002
Zip
01810-3002
Phone Number
978-475-3997
Andover, MA 01810Get directions →

Provider Business Mailing Address Details

Address
16 Haverhill St
Andover, MA 01810-3002
City
Andover
State
MA
Zip
01810-3002
Phone Number
978-475-3997

License Information

License Number
DN1856571
License State
MA
Taxonomy
Dentist, General Practice · 1223G0001X · 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 Dr. Matthew L Bagnall, DMD?

The NPI number of Dr. Matthew L Bagnall, DMD is 1205109436. It was assigned on February 19, 2012 and is currently active in the NPPES registry.

What is the specialty of Dr. Matthew L Bagnall, DMD?

Dr. Matthew L Bagnall, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number DN1856571.

Where does Dr. Matthew L Bagnall, DMD practice?

The practice location is 16 Haverhill St, Andover, MA 01810-3002. The office can be reached at 978-475-3997 (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 1205109436 directly on the NPPES registry website.

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