METHEN DENTAL SPECIALTY ASSOC (NPI# 1013022672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013022672 |
| Entity Type | Organization |
| Organization Name | METHEN DENTAL SPECIALTY ASSOC |
| Practice Address |
60 East Streetsuite 3200 Methven MA 01844 |
| Mailing Address |
60 East Street Suite 3200 Methven MA 01844 |
| Practice Telephone | 9786852471 |
| Practice Fax Number | 9786833985 |
| Mailing Telephone | 9786852471 |
| Mailing Fax Number | 9786833985 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. HOWARD W SMITH (CLERK) |
| Authorized Official Telephone | 9786852471 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 1223E0200X |
Dentist Specialization: Endodontics |
18533 | MA | Dental Providers |
| X | 1223P0300X |
Dentist Specialization: Periodontics |
20469 | MA | Dental Providers |
| X | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
16114 | MA | Dental Providers |
| Street Address |
60 EAST STREETSUITE 3200 |
| City | METHVEN |
| State | MA |
| Zip Code | 01844 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093313629 | Claude Zeligou | Behavior Technician | Guy Lougbo, 26 Loring Road, Methuan, MA 01844 | 2020-10-15 |
| 1265938609 | Angely Martinez | Student in an Organized Health Care Education/Training Program | 28 Kirk Street, Methuen, MA 01844 | 2018-04-04 |
| 1073037909 | Lauren Boenitz | Physical Therapy Assistant | 318 1/2 Broadway, Methuen, MA 01844 | 2017-08-02 |
| 1821512229 | Janice Marie Benoit | Registered Nurse | 12 Ingales Court, M, Methuen, MA 01844 | 2017-07-28 |
| 1194266825 | Zuri Counseling Services LLC | Nurse Practitioner | 39 Haverhill Street, Methuen, MA 01844 | 2017-03-14 |
| 1740732775 | Florinda Delarosa | Assistant Behavior Analyst | 106 North Lowell St, Methuen, MA 01844 | 2016-10-25 |
| 1376094888 | Kristan Mazaka | Social Worker | 19 1/2 Mystic Street, Methuen, MA 01844 | 2016-10-19 |
| 1013365394 | Diana Echeverry | Counselor | 271 Broadway St. Apartment 7, Methuen, MA 01844 | 2016-05-27 |
| 1104283944 | Danielle Lee Lambert | Counselor | 100a Haverhill St., Methuen, MA 01844 | 2016-01-25 |
| 1265839443 | Josef Peter Kish | Counselor | 100a Haverhill Street, Metheun, MA 01844 | 2014-12-03 |
| Find all providers in zip 01844 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508464603 | Thabet Housami | Dentist | 635 Albany Street G-201, Boston, MA 02118-2392 | 2020-10-12 |
| 1255954178 | Citidental Brookline Pllc | Dentist | 637 Washington St Ste 210, Brookline, MA 02446-4579 | 2020-05-27 |
| 1972135028 | Endodontic Center, P.C. | Dentist | 1256 Park St Ste 203, Stoughton, MA 02072-3745 | 2020-02-06 |
| 1497228498 | Westwood Dental Associates, LLC | Dentist | 541 High St Ste 3, Westwood, MA 02090-1628 | 2019-01-02 |
| 1720561459 | Omar Alkhattab | Dentist | 72 E Concord St Rm 318, Boston, MA 02118-2307 | 2018-09-10 |
| 1851892434 | Anne Lauren Koch | Dentist | 29 Lewis Bay Blvd, Suite 4, West Yarmouth, MA 02673 | 2018-02-28 |
| 1912407560 | Endodontic Care of Ma, P.C. | Dentist | 151 E Central St, Franklin, MA 02038-1439 | 2018-02-20 |
| 1366940389 | Glick & Ritch Endo North Andover PC | Dentist | 140 Willow St # 2, North Andover, MA 01845-5918 | 2018-01-24 |
| 1295251007 | Iona Dental, P.C. (parent Organization) | Dentist | 10 Granite Street, Unit - 4c, Quincy, MA 02169 | 2017-08-15 |
| 1588198667 | Rafael Carmona | Dentist | 1290 Tremont St Fl 2, Roxbury, MA 02120-3432 | 2017-04-17 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.