NPI 1124664537

Davis Square Dental Specialists LLC

Organisation General Practice Dentistry Lowell, MA

Practice location

Address: 710 Chelmsford St, Lowell, MA 01851-5101
Phone: (978) 454-0774
Mailing address: 30 College Ave, Somerville, MA 02144-1914

Authorised official

Name: Juliana Masiello
Title: Corporate Manager
Phone: (617) 591-9999

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X

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Registry record

NPI: 1124664537
Entity type: Organization
NPI issued: 20 Nov 2019
Record last updated: 20 Nov 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.