| Premier Family Dentistry Llc | |
|
39 Cross St Ste 101 Peabody MA 01960-1666 | |
| (978) 532-7177 | |
| (978) 531-9939 |
| Full Name | Premier Family Dentistry Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 39 Cross St Ste 101, Peabody, Massachusetts |
| Authorized Official Name and Position | Rani Varghese (DENTIST) |
| Authorized Official Contact | 9785327177 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Family Dentistry Llc 39 Cross St Ste 101 Peabody MA 01960-1666 Ph: () - | Premier Family Dentistry Llc 39 Cross St Ste 101 Peabody MA 01960-1666 Ph: (978) 532-7177 |
| NPI Number | 1689232936 |
|---|---|
| Provider Enumeration Date | 06/02/2019 |
| Last Update Date | 08/26/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689232936 | NPI | - | NPPES |
| 1205199569 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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