EXCEL DENTAL OF HAVERHILL LLC (NPI# 1265072524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265072524 |
| Entity Type | Organization |
| Organization Name | EXCEL DENTAL OF HAVERHILL LLC |
| Practice Address |
400 Lowell Ave Ste 4 Haverhill MA 01832-3661 |
| Practice Telephone | 9789146333 |
| Practice Fax Number | 9789146332 |
| Mailing Telephone | 9789146333 |
| Mailing Fax Number | 9789146332 |
| Enumeration Date | 2020-01-14 |
| Last Update Date | 2020-01-14 |
| Authorized Official Name | DR. CHITRANG B PATEL (OWNER) |
| Authorized Official Telephone | 9789416333 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 110100100A | 05 |
| Other Name | Type Code |
|---|---|
| Excel Dental | Doing Business As Name - Organization |
| Street Address |
400 LOWELL AVE STE 4 |
| City | HAVERHILL |
| State | MA |
| Zip Code | 01832-3661 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154887503 | Emely D Valenzuela Toribio | Behavioral Analyst | 116 Klondike Ave Apt 104, Lawrence, Haverhill, MA 01832 | 2019-02-11 |
| 1184194821 | Janet De Leon | Social Worker | 78 Perkins Ct, Haverhill, MA 01832 | 2018-11-26 |
| 1073005765 | Krista Boucher | Behavioral Analyst | 62 Wingate St Apt 3b, Haverhill, MA 01832 | 2018-05-30 |
| 1619354172 | Hearts To Home | Home Health | 72 Broadway #1, Haverhill, MA 01832 | 2015-05-04 |
| 1316238363 | Shaine Anthony Alvaranga | Counselor | 25 Victor St, Apt 1, Haverhill, MA 01832 | 2011-04-26 |
| 1851487979 | Stacey Bogue Foster | Social Worker | 266 Waverly Road, North Andover, MA 01832 | 2006-10-05 |
| 1023587763 | Kim Phan | Pharmacist | 425 Lowell Ave, Haverhill, MA 01832 | 2018-11-23 |
| 1164896015 | Amy Burkland | Counselor | 230 Liberty St, Haverhill, MA 01832-1034 | 2015-11-16 |
| 1669919098 | Tyler Woelfel | Specialist/Technologist | 7 White Oak Cir, Haverhill, MA 01832-1075 | 2017-01-24 |
| 1831229541 | Susan Margaret Lawlor | Registered Nurse | 6 Danielle Dr, Haverhill, MA 01832-1130 | 2007-03-06 |
| Find all providers in zip 01832 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194974436 | River's Edge Family Dental | Dentist | 241 Lincoln Ave, Haverhill, MA 01830-6738 | 2008-09-11 |
| 1689742363 | Stephen Charles Chadwick | Dentist | 118 Merrimack St, Haverhill, MA 01831 | 2006-12-01 |
| 1851485999 | Philip Anthony Minichiello | Dentist | 166 Summer St, Haverhill, MA 01830-6318 | 2006-10-03 |
| 1902825144 | Abol Massih Tehrani | Dentist | 121 Merrimack Street, Haverhill, MA 01830-6107 | 2006-07-19 |
| 1720019615 | Anthony J Sciuto | Dentist | 234 Summer St, Haverhill, MA 01830-6318 | 2006-07-06 |
| 1659300895 | Clancy D Boynton | Dentist | 483 Main St, Haverhill, MA 01830-3221 | 2006-07-01 |
| 1679540447 | Jeanne Velde | Dentist | 209 Summer St, Suite 1, Haverhill, MA 01830-6313 | 2006-03-01 |
| 1265414478 | Alan M. Gonick | Dentist | 122 Kenoza Ave, Haverhill, MA 01830-4139 | 2005-11-15 |
| 1508350778 | Sai Anusha Adlur Janakiraman | Dentist | 2 Water St, Haverhill, MA 01830-6229 | 2018-06-20 |
| 1013427285 | Maryam Mohammadvali Samani | Dentist | 241 Lincoln Ave, Haverhill, MA 01830-6738 | 2017-10-02 |
| Find all providers in HAVERHILL | ||||
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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.