Active NPIOrganization

Shawsheen Family Dental

Clinic/Center, Dental in Tewksbury, Massachusetts

NPI Number1982907762
Practice location
1455 Main St, Tewksbury, MA 01876-4769
Fax
978-851-2811
Last updated
December 16, 2010

Shawsheen Family Dental is a healthcare organization based in Tewksbury, MA. Shawsheen Family Dental practices in Tewksbury, MA. The NPI Number for Shawsheen Family Dental is 1982907762 and holds a License No. 20116 (MA). The current practice location address for Shawsheen Family Dental is 1455 Main St, Tewksbury, MA 01876-4769 and can be reached out via phone at 978-851-7112 and via fax at 978-851-2811.

Provider Profile Details

NPI Number
1982907762
Provider Name
Shawsheen Family Dental
Provider Entity Type
Organization
Address
1455 Main St, Tewksbury, MA 01876-4769
Phone Number
978-851-7112
Fax Number
978-851-2811
Primary Taxonomy
Clinic/Center, Dental · 261QD0000X
Organization Subpart
No
Authorized Official
Carla Bustillo-Gonzalez, DDS · Owner · 978-851-7112
Provider Enumeration Date
December 16, 2010
Last Update Date
December 16, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
1455 Main St
Tewksbury, MA 01876-4769
Zip
01876-4769
Phone Number
978-851-7112
Fax Number
978-851-2811
Tewksbury, MA 01876Get directions →

Provider Business Mailing Address Details

Address
1455 Main St
Tewksbury, MA 01876-4769
City
Tewksbury
State
MA
Zip
01876-4769
Phone Number
978-851-7112
Fax Number
978-851-2811

License Information

License Number
20116
License State
MA
Taxonomy
Clinic/Center, Dental · 261QD0000X · 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 Shawsheen Family Dental?

The NPI number of Shawsheen Family Dental is 1982907762. It was assigned on December 16, 2010 and is currently active in the NPPES registry.

What is the specialty of Shawsheen Family Dental?

Shawsheen Family Dental is registered under the primary taxonomy Clinic/Center, Dental (code 261QD0000X), licensed in MA under license number 20116.

Where does Shawsheen Family Dental practice?

The practice location is 1455 Main St, Tewksbury, MA 01876-4769. The office can be reached at 978-851-7112 (phone) or 978-851-2811 (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 1982907762 directly on the NPPES registry website.

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