| Peabody Dental Group, Llc | |
|
619 Lowell St Unit 2 Peabody MA 01960-2316 | |
| (978) 535-3443 | |
| Not Available |
| Full Name | Peabody Dental Group, Llc |
|---|---|
| Speciality | Dentist |
| Location | 619 Lowell St Unit 2, Peabody, Massachusetts |
| Authorized Official Name and Position | Richard Todd Miller (PRESIDENT) |
| Authorized Official Contact | 7815620457 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peabody Dental Group, Llc 500 Chapman St Unit 201 Canton MA 02021-2040 Ph: (781) 562-0457 | Peabody Dental Group, Llc 619 Lowell St Unit 2 Peabody MA 01960-2316 Ph: (978) 535-3443 |
| NPI Number | 1427559681 |
|---|---|
| Provider Enumeration Date | 02/23/2018 |
| Last Update Date | 02/23/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427559681 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN20980 (Massachusetts) | Primary |
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