| Paradise Dental Associates, Llc | |
|
142a Canal Street Salem MA 01970 | |
| (781) 598-3700 | |
| (781) 598-3730 |
| Full Name | Paradise Dental Associates, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 142a Canal Street, Salem, Massachusetts |
| Authorized Official Name and Position | Stephen Mark Hamelburg (MANAGING PARTNER) |
| Authorized Official Contact | 7815983700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Paradise Dental Associates, Llc 142a Canal Street Salem MA 01970 Ph: (781) 598-3700 | Paradise Dental Associates, Llc 142a Canal Street Salem MA 01970 Ph: (781) 598-3700 |
| NPI Number | 1073730297 |
|---|---|
| Provider Enumeration Date | 04/19/2007 |
| Last Update Date | 11/09/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073730297 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 17953 (Massachusetts) | Secondary |
| 1223G0001X | Dentist - General Practice | 17992 (Massachusetts) | Primary |
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