Venusdentalpc
Preferred Provider Organization · Maynard, MA
Practice location
63 Great Rd Ste 105Maynard, MA 01754-2097
- Phone
- (978) 298-5281
NPI record
- NPI
- 1619351269
- Entity type
- Organization (Type 2)
- Enumeration date
- July 14, 2015
- Last updated
- July 14, 2015
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Preferred Provider Organization Primary | 305R00000X |
DN1856317 | MA |
Authorized official
- Name
- Azadeh Shahab
- Title
- Dentistowner
- Phone
- (978) 298-5281
About Venusdentalpc
Venusdentalpc is a healthcare organization registered in the NPI registry with the primary taxonomy Preferred Provider Organization (code 305R00000X). The practice location is 63 Great Rd Ste 105, Maynard, MA 01754-2097. The NPI number 1619351269 was assigned on July 14, 2015 and the record was last updated on July 14, 2015.
Venusdentalpc lists a license in the registry: #DN1856317 (MA) for Preferred Provider Organization. License numbers are self-reported to NPPES; verify them with the state licensing board.
The authorized official for this organization is Azadeh Shahab, Dentistowner.
Frequently asked questions
What is the NPI number of Venusdentalpc?
The NPI number is 1619351269.
What is the phone number of Venusdentalpc?
The phone number listed for the practice location is (978) 298-5281.
Where is Venusdentalpc located?
63 Great Rd Ste 105, Maynard, MA 01754-2097.
What is the taxonomy code for Venusdentalpc?
The primary taxonomy code is 305R00000X – Preferred Provider Organization.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.