Northeastern Pediatric Dental in Nashua - Pediatric Dentistry

Northeastern Pediatric Dental - NPI 1326216680

Northeastern Pediatric Dental is a Pediatric Dentistry in Nashua, New Hampshire. Northeastern Pediatric Dental practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Northeastern Pediatric Dental is 1326216680. The last update date is 2008-02-20.

Northeastern Pediatric Dental's current location address is 78 Northeastern Blvd, Nashua, New Hampshire. You can contact this provider via phone number 6038805002 and fax number 6038801877. The mailing address for Northeastern Pediatric Dental is 78 Northeastern Blvd, Nashua, New Hampshire. To know further, please read the information below!

Provider Profile Detail

Provider Organization Northeastern Pediatric Dental
Address 78 Northeastern Blvd, Nashua, New Hampshire
Phone Number 6038805002
Fax Number 6038801877
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DMD OWNER
Authorized Official Name Kalali H Mina
Credentials DMD
Telephone Number 6038805002

NPI Number Detail

NPI Number 1326216680
Provider Enumeration Date 2008-02-20
Last Updated Date 2008-02-20

Provider Mailing Address Detail

Address 78 Northeastern Blvd
City Nashua
State New Hampshire (NH)
Post Code 3062
Phone Number 6038805002
Fax Number 6038801877

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
Taxonomy 1223P0221X
Licence No 3374
Definition:
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
30303168 NH --

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FAQs about Northeastern Pediatric Dental

What is the Northeastern Pediatric Dental's 1326216680?

The Northeastern Pediatric Dental's NPI (National Provider Identifier) Number is 1326216680. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Northeastern Pediatric Dental's physical address?

The Northeastern Pediatric Dental is physically located at 78 Northeastern Blvd, in the city of Nashua, NH, with the postal code 3062.

What is Northeastern Pediatric Dental's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Northeastern Pediatric Dental is Pediatric Dentistry, and the taxonomy code that classifies this field of practice is 1223P0221X.

On what date did the Northeastern Pediatric Dental receive the assignment of its 1326216680 from the Centers for Medicare & Medicaid Services?

The Northeastern Pediatric Dental was issued its 1326216680 by the Centers for Medicare & Medicaid Services on 2008-02-20.

As of what date was the information pertaining to Northeastern Pediatric Dental, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Northeastern Pediatric Dental, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-02-20.

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