National Provider Identifier Database

HAVERHILL PRIME DENTAL PLLC
Dental


Contact Information

HAVERHILL PRIME DENTAL PLLC
126 MAIN ST
HAVERHILL, MA01830
Phone: 617-595-2916
Fax:
Website:
Specialty Taxonomy Code
* Dental 261QD0000X

* Indicates primary specialty

NPI Profile & details for HAVERHILL PRIME DENTAL PLLC

NPI Number 1427538230
Legal business name
LBN
HAVERHILL PRIME DENTAL PLLC
Authorized official ATUL BANSAL - (MANAGER)
Entity Organization
Organization subpart No
Enumeration date 08/21/2018
Last updated 10/29/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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