Active NPIOrganization

Great Marsh Pediatric Dentistry

Dentist, Pediatric Dentistry in Georgetown, Massachusetts

NPI Number1407690878
Practice location
65 Central St Unit 101, Georgetown, MA 01833-2425
Fax
—
Last updated
June 20, 2024

Great Marsh Pediatric Dentistry is a healthcare organization based in Georgetown, MA. Great Marsh Pediatric Dentistry practices in Georgetown, MA. The NPI Number for Great Marsh Pediatric Dentistry is 1407690878. The current practice location address for Great Marsh Pediatric Dentistry is 65 Central St Unit 101, Georgetown, MA 01833-2425 and can be reached out via phone at 781-771-9287.

Provider Profile Details

NPI Number
1407690878
Provider Name
Great Marsh Pediatric Dentistry
Provider Entity Type
Organization
Address
65 Central St Unit 101, Georgetown, MA 01833-2425
Phone Number
781-771-9287
Primary Taxonomy
Dentist, Pediatric Dentistry · 1223P0221X
Organization Subpart
No
Authorized Official
Dr. Marina Mooradian, DMD · Pediatric Dentist/Owner · 781-771-9287
Provider Enumeration Date
June 20, 2024
Last Update Date
June 20, 2024
Certification Date
June 18, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
65 Central St Unit 101
Georgetown, MA 01833-2425
Zip
01833-2425
Phone Number
781-771-9287
Georgetown, MA 01833Get directions →

Provider Business Mailing Address Details

Address
9 Mill RD
Ipswich, MA 01938-1608
City
Ipswich
State
MA
Zip
01938-1608
Phone Number
781-771-9287

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 Great Marsh Pediatric Dentistry?

The NPI number of Great Marsh Pediatric Dentistry is 1407690878. It was assigned on June 20, 2024 and is currently active in the NPPES registry.

What is the specialty of Great Marsh Pediatric Dentistry?

Great Marsh Pediatric Dentistry is registered under the primary taxonomy Dentist, Pediatric Dentistry (code 1223P0221X).

Where does Great Marsh Pediatric Dentistry practice?

The practice location is 65 Central St Unit 101, Georgetown, MA 01833-2425. The office can be reached at 781-771-9287 (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 1407690878 directly on the NPPES registry website.

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