Premier Dental Concepts of Andover PC

NPI #1013634104 in Andover, Massachusetts

Provider Information

NPI Number: 1013634104
Entity Type: Organization
Organization Name: Premier Dental Concepts of Andover PC
Primary Specialty: Dentist
Enumeration Date: Oct 20, 2022
Last Updated: Oct 20, 2022

Practice Location

Address: 351 N MAIN ST
City: Andover
State: Massachusetts
ZIP Code: 01810-2610
Phone: (978) 475-1030

Authorized Official

Name: NAYAKI GADDIPATI
Title: PRESIDENT
Phone: (214) 336-9767

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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