Active NPIOrganization

Pediatric Dentistry

Dentist, Pediatric Dentistry in Concord, Massachusetts

NPI Number1629055793
Practice location
290 Baker Ave, Ste. 228NORTH, Concord, MA 01742-2189
Fax
978-371-2031
Last updated
August 22, 2020

Pediatric Dentistry is a healthcare organization based in Concord, MA. Pediatric Dentistry practices in Concord, MA. The NPI Number for Pediatric Dentistry is 1629055793 and holds a License No. 13469 (MA). The current practice location address for Pediatric Dentistry is 290 Baker Ave, Ste. 228NORTH, Concord, MA 01742-2189 and can be reached out via phone at 978-369-7771 and via fax at 978-371-2031.

Provider Profile Details

NPI Number
1629055793
Provider Name
Pediatric Dentistry
Provider Entity Type
Organization
Address
290 Baker Ave, Ste. 228NORTH, Concord, MA 01742-2189
Phone Number
978-369-7771
Fax Number
978-371-2031
Primary Taxonomy
Dentist, Pediatric Dentistry · 1223P0221X
Organization Subpart
No
Authorized Official
Neale I. Eckstein, DDS · Dentist · 978-369-7771
Provider Enumeration Date
December 29, 2005
Last Update Date
August 22, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
290 Baker Ave
Ste. 228NORTH
Concord, MA 01742-2189
Zip
01742-2189
Phone Number
978-369-7771
Fax Number
978-371-2031
Concord, MA 01742Get directions →

Provider Business Mailing Address Details

Address
290 Baker Ave
Ste. 228NORTH
Concord, MA 01742-2189
City
Concord
State
MA
Zip
01742-2189
Phone Number
978-369-7771
Fax Number
978-371-2031

License Information

License Number
13469
License State
MA
Taxonomy
Dentist, Pediatric Dentistry · 1223P0221X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Dentist, Pediatric Dentistry providers near Concord, MA

View all Dentist, Pediatric Dentistry providers in Concord →

Frequently Asked Questions

What is the NPI number of Pediatric Dentistry?

The NPI number of Pediatric Dentistry is 1629055793. It was assigned on December 29, 2005 and is currently active in the NPPES registry.

What is the specialty of Pediatric Dentistry?

Pediatric Dentistry is registered under the primary taxonomy Dentist, Pediatric Dentistry (code 1223P0221X), licensed in MA under license number 13469.

Where does Pediatric Dentistry practice?

The practice location is 290 Baker Ave, Ste. 228NORTH, Concord, MA 01742-2189. The office can be reached at 978-369-7771 (phone) or 978-371-2031 (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 1629055793 directly on the NPPES registry website.

Browse related providers