Active NPIOrganization

Peabody Dental Spa, PLLC

Dentist, General Practice in Peabody, Massachusetts

NPI Number1831603968
Practice location
124 Newbury St Unit D, Peabody, MA 01960-4066
Fax
—
Last updated
April 24, 2023

Peabody Dental Spa, PLLC is a healthcare organization based in Peabody, MA. Peabody Dental Spa, PLLC practices in Peabody, MA. The NPI Number for Peabody Dental Spa, PLLC is 1831603968. The current practice location address for Peabody Dental Spa, PLLC is 124 Newbury St Unit D, Peabody, MA 01960-4066 and can be reached out via phone at 517-316-6314.

Provider Profile Details

NPI Number
1831603968
Provider Name
Peabody Dental Spa, PLLC
Provider Entity Type
Organization
Address
124 Newbury St Unit D, Peabody, MA 01960-4066
Phone Number
517-316-6314
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Organization Subpart
No
Authorized Official
Dr. Dhara Shah, DMD · Owner · 517-316-6314
Other Names
Peabody Smile Design (Doing Business As)
Provider Enumeration Date
November 28, 2017
Last Update Date
April 24, 2023
Certification Date
April 24, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
124 Newbury St Unit D
Peabody, MA 01960-4066
Zip
01960-4066
Phone Number
517-316-6314
Peabody, MA 01960Get directions →

Provider Business Mailing Address Details

Address
124 Newbury St Ste D
Peabody, MA 01960-4067
City
Peabody
State
MA
Zip
01960-4067
Phone Number
978-278-5478

License Information

Taxonomy (1)
Clinic/Center, Dental · 261QD0000X
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 Peabody Dental Spa, PLLC?

The NPI number of Peabody Dental Spa, PLLC is 1831603968. It was assigned on November 28, 2017 and is currently active in the NPPES registry.

What is the specialty of Peabody Dental Spa, PLLC?

Peabody Dental Spa, PLLC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X).

Where does Peabody Dental Spa, PLLC practice?

The practice location is 124 Newbury St Unit D, Peabody, MA 01960-4066. The office can be reached at 517-316-6314 (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 1831603968 directly on the NPPES registry website.

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