- Practice location
- 380 Merrimack St, Suite 3A, Methuen, MA 01844-5870
- Phone
- 978-685-2471
- Fax
- 978-683-3985
- Last updated
- December 27, 2012
Mdsa LLC is a healthcare organization based in Methuen, MA. Mdsa LLC practices in Methuen, MA. The NPI Number for Mdsa LLC is 1871839530 and holds a License No. DN16836 (MA). The current practice location address for Mdsa LLC is 380 Merrimack St, Suite 3A, Methuen, MA 01844-5870 and can be reached out via phone at 978-685-2471 and via fax at 978-683-3985.
Provider Profile Details
- NPI Number
- 1871839530
- Provider Name
- Mdsa LLC
- Provider Entity Type
- Organization
- Address
- 380 Merrimack St, Suite 3A, Methuen, MA 01844-5870
- Phone Number
- 978-685-2471
- Fax Number
- 978-683-3985
- Primary Taxonomy
- Dentist, Periodontics · 1223P0300X
- Organization Subpart
- No
- Authorized Official
- Dr. Gary H Wainwright, DMD · Member · 978-685-2471
- Provider Enumeration Date
- December 27, 2012
- Last Update Date
- December 27, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 380 Merrimack St
Suite 3A
Methuen, MA 01844-5870 - City
- Methuen
- State
- Massachusetts
- Zip
- 01844-5870
- Phone Number
- 978-685-2471
- Fax Number
- 978-683-3985
Provider Business Mailing Address Details
- Address
- 380 Merrimack St
Suite 3A
Methuen, MA 01844-5870 - City
- Methuen
- State
- MA
- Zip
- 01844-5870
- Phone Number
- 978-685-2471
- Fax Number
- 978-683-3985
License Information
- License Number (1)
- DN16836
- License State (1)
- MA
- Taxonomy (1)
- Dentist, Endodontics · 1223E0200X
- License Number (2)
- 16114
- License State (2)
- MA
- Taxonomy (2)
- Dentist, Orthodontics and Dentofacial Orthopedics · 1223X0400X
- License Number (3)
- DN20469
- License State (3)
- MA
- Taxonomy (3)
- Dentist, Periodontics · 1223P0300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentist, Periodontics providers near Methuen, MA
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Frequently Asked Questions
What is the NPI number of Mdsa LLC?
The NPI number of Mdsa LLC is 1871839530. It was assigned on December 27, 2012 and is currently active in the NPPES registry.
What is the specialty of Mdsa LLC?
Mdsa LLC is registered under the primary taxonomy Dentist, Periodontics (code 1223P0300X), licensed in MA under license number DN16836.
Where does Mdsa LLC practice?
The practice location is 380 Merrimack St, Suite 3A, Methuen, MA 01844-5870. The office can be reached at 978-685-2471 (phone) or 978-683-3985 (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 1871839530 directly on the NPPES registry website.