| Healthysmiledentalllc | |
|
175 Derby St Unit 34 Hingham MA 02043-4007 | |
| (781) 741-8844 | |
| (781) 784-8806 |
| Full Name | Healthysmiledentalllc |
|---|---|
| Speciality | Dentist |
| Location | 175 Derby St, Hingham, Massachusetts |
| Authorized Official Name and Position | Saghi Ownjazayeri (OWNER) |
| Authorized Official Contact | 7817418844 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthysmiledentalllc 175 Derby St Unit 34 Hingham MA 02043-4007 Ph: (781) 741-8844 | Healthysmiledentalllc 175 Derby St Unit 34 Hingham MA 02043-4007 Ph: (781) 741-8844 |
| NPI Number | 1679783955 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 6608282538 |
|---|---|
| Medicare Enrollment ID | O20210301002120 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679783955 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 19237 (Massachusetts) | Primary |
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