Pradeep K Bholla, DMD
Dentist, General Practice in Lawrence, Massachusetts
1780281949- Practice location
- 465 S Broadway, Lawrence, MA 01843-3526
- Phone
- 802-476-3171
- Fax
- —
- Last updated
- October 1, 2020
Pradeep Kumar Bholla is a Dentist, General Practice based in Lawrence, MA. Pradeep Kumar Bholla practices in Lawrence, MA and has the professional credentials of DMD. The NPI Number for Pradeep Kumar Bholla is 1780281949 and holds a License No. DN1858841 (MA). The current practice location address for Pradeep Kumar Bholla is 465 S Broadway, Lawrence, MA 01843-3526 and can be reached out via phone at 802-476-3171.
Provider Profile Details
- NPI Number
- 1780281949
- Provider Name
- Pradeep Kumar Bholla
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 465 S Broadway, Lawrence, MA 01843-3526
- Phone Number
- 802-476-3171
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 1, 2020
- Last Update Date
- October 1, 2020
- Certification Date
- October 1, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 465 S Broadway
Lawrence, MA 01843-3526 - City
- Lawrence
- State
- Massachusetts
- Zip
- 01843-3526
- Phone Number
- 802-476-3171
Provider Business Mailing Address Details
- Address
- 125 Pleasant St Apt 401
Brookline, MA 02446-7180 - City
- Brookline
- State
- MA
- Zip
- 02446-7180
- Phone Number
- 425-624-8172
License Information
- License Number
- DN1858841
- 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. | |||
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Frequently Asked Questions
What is the NPI number of Pradeep K Bholla, DMD?
The NPI number of Pradeep K Bholla, DMD is 1780281949. It was assigned on October 1, 2020 and is currently active in the NPPES registry.
What is the specialty of Pradeep K Bholla, DMD?
Pradeep K Bholla, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number DN1858841.
Where does Pradeep K Bholla, DMD practice?
The practice location is 465 S Broadway, Lawrence, MA 01843-3526. The office can be reached at 802-476-3171 (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 1780281949 directly on the NPPES registry website.