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Waverley Oaks Dental Care Specialists Llc
Pediatric Dentist in Waltham, Massachusetts
NPI 1336282300

Waverley Oaks Dental Care Specialists Llc is a Pediatric Dentist based in Waltham, MA and is specialized in Pediatric Dentistry. Waverley Oaks Dental Care Specialists Llc practices in Waltham, MA. The NPI Number for Waverley Oaks Dental Care Specialists Llc is 1336282300 and holds a License No. 18464 (Massachusetts).

The current practice location address for Waverley Oaks Dental Care Specialists Llc is 411 Waverley Oaks Rd, Waltham, MA and can be reached out via phone at 781-647-0022 and via fax at 781-647-1122.

Location: 411 Waverley Oaks Rd, Waltham, MA, 02452-8448
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1336282300
Provider Name
Waverley Oaks Dental Care Specialists Llc
Credential
Provider Entity Type
Organization
Address
411 Waverley Oaks Rd, Waltham, MA, 02452-8448
Phone Number
781-647-0022
Fax Number
781-647-1122
Provider Enumeration Date
02/15/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
X12212 01 MA BLUE CROSS BLUE SHIELDS
institution
Provider Business Practice Location Address Details
Address
411 Waverley Oaks Rd
City
Waltham
State
Massachusetts
Zip
02452-8448
Phone Number
781-647-0022
Fax Number
781-647-1122
person
Provider Business Mailing Address Details
Address
411 Waverley Oaks Rd
City
Waltham
State
Massachusetts
Zip
02452-8448
Phone Number
781-647-0022
Fax Number
781-647-1122
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
18464 (Massachusetts)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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