| 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 |
Tri- City Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 568 Main St, Indian Orchard, MA 01151 Phone: 716-939-4818 |