Medford Tlc Dental Group, LLC
Dentist, General Practice in Medford, Massachusetts
1457863953- Practice location
- 84 High St Ste 5, Medford, MA 02155-3844
- Phone
- 781-393-0008
- Fax
- —
- Last updated
- October 26, 2017
Medford Tlc Dental Group, LLC is a healthcare organization based in Medford, MA. Medford Tlc Dental Group, LLC practices in Medford, MA. The NPI Number for Medford Tlc Dental Group, LLC is 1457863953 and holds a License No. DN19618 (MA). The current practice location address for Medford Tlc Dental Group, LLC is 84 High St Ste 5, Medford, MA 02155-3844 and can be reached out via phone at 781-393-0008.
Provider Profile Details
- NPI Number
- 1457863953
- Provider Name
- Medford Tlc Dental Group, LLC
- Provider Entity Type
- Organization
- Address
- 84 High St Ste 5, Medford, MA 02155-3844
- Phone Number
- 781-393-0008
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Organization Subpart
- No
- Authorized Official
- Mrs. Anna Ganopolsky, DMD · Owner · 781-393-0008
- Other Names
- Tlc Dental Of Medford (Former Legal Business Name)
- Provider Enumeration Date
- October 25, 2017
- Last Update Date
- October 26, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 84 High St Ste 5
Medford, MA 02155-3844 - City
- Medford
- State
- Massachusetts
- Zip
- 02155-3844
- Phone Number
- 781-393-0008
Provider Business Mailing Address Details
- Address
- 84 High St Ste 5
Medford, MA 02155-3844 - City
- Medford
- State
- MA
- Zip
- 02155-3844
- Phone Number
- 781-393-0008
License Information
- License Number
- DN19618
- License State
- MA
- Taxonomy
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentist, General Practice providers near Medford, MA
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- Dr. Anthony Giamberardino, DMDDentist, General Practice · NPI 1316132574
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Frequently Asked Questions
What is the NPI number of Medford Tlc Dental Group, LLC?
The NPI number of Medford Tlc Dental Group, LLC is 1457863953. It was assigned on October 25, 2017 and is currently active in the NPPES registry.
What is the specialty of Medford Tlc Dental Group, LLC?
Medford Tlc Dental Group, LLC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number DN19618.
Where does Medford Tlc Dental Group, LLC practice?
The practice location is 84 High St Ste 5, Medford, MA 02155-3844. The office can be reached at 781-393-0008 (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 1457863953 directly on the NPPES registry website.