Pradeep Kumar Bholla, DMD

General Practice Dentistry · Lawrence, MA

Individual Active NPI

NPI number 1780281949

Practice location

465 S Broadway
Lawrence, MA 01843-3526
Phone
(802) 476-3171

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NPI record

NPI
1780281949
Entity type
Individual (Type 1)
Enumeration date
October 1, 2020
Last updated
October 1, 2020
Certified
October 1, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X DN1858841 MA

Mailing address

125 Pleasant St Apt 401
Brookline, MA 02446-7180
Phone
(425) 624-8172

About Dr. Bholla

Pradeep Kumar Bholla, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 465 S Broadway, Lawrence, MA 01843-3526. The NPI number 1780281949 was assigned on October 1, 2020 and the record was last updated on October 1, 2020.

Dr. Bholla lists a license in the registry: #DN1858841 (MA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Pradeep Kumar Bholla, DMD?

The NPI number is 1780281949.

What is the phone number of Dr. Bholla?

The phone number listed for the practice location is (802) 476-3171.

Where is Dr. Bholla located?

465 S Broadway, Lawrence, MA 01843-3526.

What is the taxonomy code for Dr. Bholla?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

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.

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