Active NPIOrganization

Hanover Pediatric Dentistry, PLLC

Dentist, Pediatric Dentistry in Hanover, Massachusetts

NPI Number1902313570
Practice location
648 Washington St, Hanover, MA 02339-2386
Fax
—
Last updated
January 4, 2018

Hanover Pediatric Dentistry, PLLC is a healthcare organization based in Hanover, MA. Hanover Pediatric Dentistry, PLLC practices in Hanover, MA. The NPI Number for Hanover Pediatric Dentistry, PLLC is 1902313570 and holds a License No. 1855698 (MA). The current practice location address for Hanover Pediatric Dentistry, PLLC is 648 Washington St, Hanover, MA 02339-2386 and can be reached out via phone at 781-312-0444.

Provider Profile Details

NPI Number
1902313570
Provider Name
Hanover Pediatric Dentistry, PLLC
Provider Entity Type
Organization
Address
648 Washington St, Hanover, MA 02339-2386
Phone Number
781-312-0444
Primary Taxonomy
Dentist, Pediatric Dentistry · 1223P0221X
Organization Subpart
No
Authorized Official
Dr. Tara Lindholm Groff, DMD, MS · Owner/Pediatric Dentist · 781-312-0444
Provider Enumeration Date
January 4, 2018
Last Update Date
January 4, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
648 Washington St
Hanover, MA 02339-2386
Zip
02339-2386
Phone Number
781-312-0444
Hanover, MA 02339Get directions →

Provider Business Mailing Address Details

Address
648 Washington St
Hanover, MA 02339-2386
City
Hanover
State
MA
Zip
02339-2386
Phone Number
781-312-0444

License Information

License Number
1855698
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 Hanover, MA

View all Dentist, Pediatric Dentistry providers in Hanover →

Frequently Asked Questions

What is the NPI number of Hanover Pediatric Dentistry, PLLC?

The NPI number of Hanover Pediatric Dentistry, PLLC is 1902313570. It was assigned on January 4, 2018 and is currently active in the NPPES registry.

What is the specialty of Hanover Pediatric Dentistry, PLLC?

Hanover Pediatric Dentistry, PLLC is registered under the primary taxonomy Dentist, Pediatric Dentistry (code 1223P0221X), licensed in MA under license number 1855698.

Where does Hanover Pediatric Dentistry, PLLC practice?

The practice location is 648 Washington St, Hanover, MA 02339-2386. The office can be reached at 781-312-0444 (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 1902313570 directly on the NPPES registry website.

Browse related providers