Active NPIOrganization

Shoe City Family Dental PC

Clinic/Center, Dental in Haverhill, Massachusetts

NPI Number1487267282
Practice location
103 Merrimack St, Haverhill, MA 01830-6208
Fax
978-971-0061
Last updated
January 26, 2023

Shoe City Family Dental PC is a healthcare organization based in Haverhill, MA. Shoe City Family Dental PC practices in Haverhill, MA. The NPI Number for Shoe City Family Dental PC is 1487267282. The current practice location address for Shoe City Family Dental PC is 103 Merrimack St, Haverhill, MA 01830-6208 and can be reached out via phone at 978-971-0060 and via fax at 978-971-0061.

Provider Profile Details

NPI Number
1487267282
Provider Name
Shoe City Family Dental PC
Provider Entity Type
Organization
Address
103 Merrimack St, Haverhill, MA 01830-6208
Phone Number
978-971-0060
Fax Number
978-971-0061
Primary Taxonomy
Clinic/Center, Dental · 261QD0000X
Organization Subpart
No
Authorized Official
Dr. Dong Won Kim, DMD · Owner · 617-888-3400
Provider Enumeration Date
August 31, 2020
Last Update Date
January 26, 2023
Certification Date
January 26, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
103 Merrimack St
Haverhill, MA 01830-6208
Zip
01830-6208
Phone Number
978-971-0060
Fax Number
978-971-0061
Haverhill, MA 01830Get directions →

Provider Business Mailing Address Details

Address
103 Merrimack St
Haverhill, MA 01830-6208
City
Haverhill
State
MA
Zip
01830-6208
Phone Number
978-971-0060
Fax Number
978-971-0061

License Information

Taxonomy
Clinic/Center, Dental · 261QD0000X · 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 Shoe City Family Dental PC?

The NPI number of Shoe City Family Dental PC is 1487267282. It was assigned on August 31, 2020 and is currently active in the NPPES registry.

What is the specialty of Shoe City Family Dental PC?

Shoe City Family Dental PC is registered under the primary taxonomy Clinic/Center, Dental (code 261QD0000X).

Where does Shoe City Family Dental PC practice?

The practice location is 103 Merrimack St, Haverhill, MA 01830-6208. The office can be reached at 978-971-0060 (phone) or 978-971-0061 (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 1487267282 directly on the NPPES registry website.

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