METHUEN FAMILY DENTAL LLC. (NPI# 1396947081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396947081 |
| Entity Type | Organization |
| Organization Name | METHUEN FAMILY DENTAL LLC. |
| Practice Address |
460 Broadway Methuen MA 01844-2052 |
| Practice Telephone | 9786865231 |
| Practice Fax Number | 9786822736 |
| Mailing Telephone | 9786865231 |
| Mailing Fax Number | 9786822736 |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. DEEPA ANANTHANARAYANAN. (MANAGER) |
| Authorized Official Telephone | 9786865231 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
19823 | MA | Dental Providers |
| Street Address |
460 BROADWAY |
| City | METHUEN |
| State | MA |
| Zip Code | 01844-2052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083181234 | Scott Brendan Daigle | Dentist | 460 Broadway, Methuen, MA 01844-2052 | 2018-10-25 |
| 1285022467 | Yogeshwar Family Dental LLC | Dentist | 460 Broadway, Methuen, MA 01844-2052 | 2014-12-22 |
| 1013266030 | Family Dental of Methuen LLC | Dentist | 460 Broadway, Methuen, MA 01844-2052 | 2012-09-05 |
| 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 | 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 |
|---|---|---|---|---|
| 1902459977 | Angie Perez-celis | Dentist | 90 Pleasant Valley St Ste 704, Methuen, MA 01844-7213 | 2019-07-18 |
| 1790349777 | Jaclyn Sheehan | Dentist | 380 Merrimack St Ste 3e, Methuen, MA 01844-5871 | 2019-04-25 |
| 1558823989 | Excel Dental of Methuen P.C. | Dentist | 49 Jackson St Unit B, Methuen, MA 01844-5044 | 2019-04-04 |
| 1366972747 | Methuen Smiles LLC | Dentist | 100 Milk St Ste 200, Methuen, MA 01844-4660 | 2017-06-18 |
| 1942664727 | Dalba E. Naveo | Dentist | 51 Osgood St Apt R209, Methuen, MA 01844-3006 | 2016-04-07 |
| 1710224886 | Julia B Barbagallo | Dentist | 12 Morgan Dr, Methuen, MA 01844-1247 | 2013-01-09 |
| 1194069906 | Cmm Dental PC | Dentist | 90 Pleasant Valley St Unit 704, Methuen, MA 01844-7212 | 2012-11-16 |
| 1629285960 | David K Springwater | Dentist | 15 Burnham Rd, Methuen, MA 01844-3317 | 2007-05-17 |
| 1174660484 | Alexander Becker | Dentist | 162 Haverhill St, Methuen, MA 01844-3462 | 2007-01-30 |
| 1306901715 | Mythili Prakash | Dentist | 40 Jackson St, Methuen, MA 01844-5014 | 2006-12-26 |
| Find all providers in METHUEN | ||||
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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.