Active NPIOrganization

Merrimack Valley Cosmetic Dentistry, LLC

Dentist, General Practice in North Andover, Massachusetts

NPI Number1417292269
Practice location
565 Turnpike St, 63A, North Andover, MA 01845-5922
Fax
978-738-9687
Last updated
March 7, 2017

Merrimack Valley Cosmetic Dentistry, LLC is a healthcare organization based in North Andover, MA. Merrimack Valley Cosmetic Dentistry, LLC practices in North Andover, MA. The NPI Number for Merrimack Valley Cosmetic Dentistry, LLC is 1417292269 and holds a License No. 16194 (MA). The current practice location address for Merrimack Valley Cosmetic Dentistry, LLC is 565 Turnpike St, 63A, North Andover, MA 01845-5922 and can be reached out via phone at 978-683-8855 and via fax at 978-738-9687.

Provider Profile Details

NPI Number
1417292269
Provider Name
Merrimack Valley Cosmetic Dentistry, LLC
Provider Entity Type
Organization
Address
565 Turnpike St, 63A, North Andover, MA 01845-5922
Phone Number
978-683-8855
Fax Number
978-738-9687
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Organization Subpart
No
Authorized Official
Dr. David Nicholas Bardwell, DMD, MS · Sole Trustee · 978-683-8855
Provider Enumeration Date
December 5, 2012
Last Update Date
March 7, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
565 Turnpike St
63A
North Andover, MA 01845-5922
Zip
01845-5922
Phone Number
978-683-8855
Fax Number
978-738-9687
North Andover, MA 01845Get directions →

Provider Business Mailing Address Details

Address
565 Turnpike St
63A
North Andover, MA 01845-5922
City
North Andover
State
MA
Zip
01845-5922
Phone Number
978-683-8855
Fax Number
978-738-9687

License Information

License Number (1)
16194
License State (1)
MA
Taxonomy (1)
Dentist · 122300000X
License Number (2)
16194
License State (2)
MA
Taxonomy (2)
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 Merrimack Valley Cosmetic Dentistry, LLC?

The NPI number of Merrimack Valley Cosmetic Dentistry, LLC is 1417292269. It was assigned on December 5, 2012 and is currently active in the NPPES registry.

What is the specialty of Merrimack Valley Cosmetic Dentistry, LLC?

Merrimack Valley Cosmetic Dentistry, LLC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number 16194.

Where does Merrimack Valley Cosmetic Dentistry, LLC practice?

The practice location is 565 Turnpike St, 63A, North Andover, MA 01845-5922. The office can be reached at 978-683-8855 (phone) or 978-738-9687 (fax).

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 1417292269 directly on the NPPES registry website.

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