| Orchard Family Dental Llc | |
| 
					439 Main St Suite A Indian Orchard MA 01151-1238  | |
| (413) 543-1202 | |
| (413) 543-4751 | 
| Full Name | Orchard Family Dental Llc | 
|---|---|
| Speciality | Dentist - General Practice | 
| Location | 439 Main St, Indian Orchard, Massachusetts | 
| Authorized Official Name and Position | Samer M Tahoun (OWNER) | 
| Authorized Official Contact | 4135431202 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Orchard Family Dental Llc 439 Main Street Suite A Indian Orchard MA 01151 Ph: (413) 543-1202  | Orchard Family Dental Llc 439 Main St Suite A Indian Orchard MA 01151-1238 Ph: (413) 543-1202  | 
| NPI Number | 1992871115 | 
|---|---|
| Provider Enumeration Date | 11/28/2006 | 
| Last Update Date | 08/22/2020 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1992871115 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |