Unknown Individual – Dentist, NPI 1093890790
Dentist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
140, Commonwealth Avenue, Liberty Tree Mall, Tapleyville, Danvers, Essex County, Massachusetts, 01923, United States
SUITE 204
DANVERS, MA 019233629
Phone: (978) 777-2626
Type: Location
2118, Massachusetts Avenue, Lexington, Middlesex County, Massachusetts, 02421, United States
LEXINGTON, MA 024214507
Phone: (781) 862-4203
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 01923)
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